MEDICARE: DR. JATMARIE RODRIGUEZ HANCE 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	6563	PR

General Provider Information

NPI Number	:	1821979196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JATMARIE RODRIGUEZ HANCE PSYD

Provider Business Mailing Address
First Line	:	PASEO DEL PRADO
Second Line	:	CALLE PRADERA #155
City	:	CAROLINA
State	:	PR
Zip	:	00987
Country	:	US
Telephone Number	:	787-710-1636
Fax Number	:

Provider Business Practice Location Address
First Line	:	CONDOMINIO EL CENTRO I OFICINA 242
Second Line	:	500 MUNOZ RIVERA AVE
City	:	SAN JUAN
State	:	PR
Zip	:	00918
Country	:	US
Telephone Number	:	787-710-1636
Fax Number	:

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

Provider Enumeration Date	:	09/11/2025
Last Update Date	:	03/24/2026

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