Active NPI
Rosalyn I. Ortiz, PSY.D
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1982665238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2422
- Practice address
- Monte Atenas Office Park Ave. Las Cumbres KM 4.0
Suite 215
San Juan, PR 00926 - Phone
- (787) 598-3112
- Fax
- (787) 767-3412
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2422 | PR | Primary |
Addresses
Primary practice location
Monte Atenas Office Park Ave. Las Cumbres KM 4.0
Suite 215
San Juan, PR 00926
Mailing address
Calle Abraham
74 La Providencia
Aibonito, PR 00705
Phone (787) 598-3112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050603000054 | PR | Practitioner - Clinical Psychologist | 5991748758 | Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Monte Atenas Office Park
Ave Las Cumbres KM 4.0 Suite 215
San Juan, PR 00926
Phone (787) 598-3112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2422 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Health Med Group Inc | Clinical | Past | Accepting new patients |
| Hector J Guerra | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Carolina, PR
- NPI 1083630156
-
- Clinical Psychologist
- Carolina, PR
- NPI 1295919231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1982665238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE ABRAHAM",
"address_2": "74 LA PROVIDENCIA",
"city": "AIBONITO",
"state": "PR",
"postal_code": "00705",
"telephone_number": "787-598-3112",
"fax_number": "787-767-3412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MONTE ATENAS OFFICE PARK AVE. LAS CUMBRES KM 4.0",
"address_2": "SUITE 215",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-598-3112",
"fax_number": "787-767-3412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "ROSALYN",
"middle_name": "I.",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2024-12-19",
"certification_date": "2024-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "2422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.