MEDICARE: DR. JAIDYS ELENI ROSSY PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	8962	PR

General Provider Information

NPI Number	:	1740075654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAIDYS ELENI ROSSY PSYD

Provider Business Mailing Address
First Line	:	35 CALLE JUAN C BORBON STE 67-486
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00969-5374
Country	:	US
Telephone Number	:	787-671-2772
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 CALLE JUAN C BORBON STE 67-486
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00969-5374
Country	:	US
Telephone Number	:	787-671-2772
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2025
Last Update Date	:	02/03/2026

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