Active NPIIndividual providerSole proprietor

Dr. Raisa A Rodriguez, PSYD

Psychologist, Clinical in Carolina, Puerto Rico

NPI Number1700157526
Practice location
Ave. Sanchez Castano 2DA Ext Villa Carolina, Calle 18 Blq. 22 # 2, Carolina, PR 00985
Fax
787-752-8466
Last updated
January 25, 2012

Raisa Aimme Rodriguez is a Psychologist, Clinical based in Carolina, PR. Raisa Aimme Rodriguez practices in Carolina, PR and has the professional credentials of PSYD. The NPI Number for Raisa Aimme Rodriguez is 1700157526 and holds a License No. 4189 (PR). The current practice location address for Raisa Aimme Rodriguez is Ave. Sanchez Castano 2DA Ext Villa Carolina, Calle 18 Blq. 22 # 2, Carolina, PR 00985 and can be reached out via phone at 787-637-0375 and via fax at 787-752-8466.

Provider Profile Details

NPI Number
1700157526
Provider Name
Raisa Aimme Rodriguez
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
Ave. Sanchez Castano 2DA Ext Villa Carolina, Calle 18 Blq. 22 # 2, Carolina, PR 00985
Phone Number
787-637-0375
Fax Number
787-752-8466
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 25, 2012
Last Update Date
January 25, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
Ave. Sanchez Castano 2DA Ext Villa Carolina
Calle 18 Blq. 22 # 2
Carolina, PR 00985
Zip
00985
Phone Number
787-637-0375
Fax Number
787-752-8466
Carolina, PR 00985Get directions →

Provider Business Mailing Address Details

Address
Cond Jardin Sereno Apt 1002
Carolina, PR 00983
City
Carolina
State
PR
Zip
00983
Phone Number
787-637-0375
Fax Number
787-752-8466

License Information

License Number (1)
4189
License State (1)
PR
Taxonomy (1)
Psychologist · 103T00000X
License Number (2)
4189
License State (2)
PR
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary
License Number (3)
4189
License State (3)
PR

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. Raisa A Rodriguez, PSYD?

The NPI number of Dr. Raisa A Rodriguez, PSYD is 1700157526. It was assigned on January 25, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Raisa A Rodriguez, PSYD?

Dr. Raisa A Rodriguez, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 4189.

Where does Dr. Raisa A Rodriguez, PSYD practice?

The practice location is Ave. Sanchez Castano 2DA Ext Villa Carolina, Calle 18 Blq. 22 # 2, Carolina, PR 00985. The office can be reached at 787-637-0375 (phone) or 787-752-8466 (fax).

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 1700157526 directly on the NPPES registry website.

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