Active NPIIndividual provider

Dr. Jeannie L Rosario Otero, PLC, MHS, PHD

Psychologist, Clinical in San Juan, Puerto Rico

NPI Number1003428319
Practice location
319 Calle San Agustin # 321, San Juan, PR 00901-2954
Fax
—
Last updated
May 7, 2026

Jeannie Lee Rosario Otero is a Psychologist, Clinical based in San Juan, PR. Jeannie Lee Rosario Otero practices in San Juan, PR and has the professional credentials of PLC, MHS, PHD. The NPI Number for Jeannie Lee Rosario Otero is 1003428319 and holds a License No. 4829 (PR). The current practice location address for Jeannie Lee Rosario Otero is 319 Calle San Agustin # 321, San Juan, PR 00901-2954 and can be reached out via phone at 787-480-3788.

Provider Profile Details

NPI Number
1003428319
Provider Name
Jeannie Lee Rosario Otero
Credential
PLC, MHS, PHD
Provider Entity Type
Individual
Gender
Female
Address
319 Calle San Agustin # 321, San Juan, PR 00901-2954
Phone Number
787-480-3788
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
August 18, 2020
Last Update Date
May 7, 2026
Certification Date
May 7, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
319 Calle San Agustin # 321
San Juan, PR 00901-2954
Zip
00901-2954
Phone Number
787-480-3788
San Juan, PR 00901Get directions →

Provider Business Mailing Address Details

Address
I58 Calle Capitan Correa
Bayamon, PR 00959-4973
City
Bayamon
State
PR
Zip
00959-4973

License Information

License Number (1)
4829
License State (1)
PR
License Number (2)
8889
License State (2)
PR
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jeannie L Rosario Otero, PLC, MHS, PHD?

The NPI number of Dr. Jeannie L Rosario Otero, PLC, MHS, PHD is 1003428319. It was assigned on August 18, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Jeannie L Rosario Otero, PLC, MHS, PHD?

Dr. Jeannie L Rosario Otero, PLC, MHS, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 4829.

Where does Dr. Jeannie L Rosario Otero, PLC, MHS, PHD practice?

The practice location is 319 Calle San Agustin # 321, San Juan, PR 00901-2954. The office can be reached at 787-480-3788 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003428319 directly on the NPPES registry website.

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