Healthcare Provider Details
I. General information
NPI: 1821975988
Provider Name (Legal Business Name): MRJ GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2025
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
MEDICAL CENTER PLAZA 740 AVE HOSTOS SUITE 202
MAYAGUEZ PR
00682
US
IV. Provider business mailing address
PO BOX 596
MAYAGUEZ PR
00681-0596
US
V. Phone/Fax
- Phone: 787-444-1120
- Fax:
- Phone: 787-444-1120
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TF0200X |
| Taxonomy | Forensic Psychologist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
YAZMIN
RIOS RODRIGUEZ
Title or Position: FOUNDER & CEO
Credential: PSYD
Phone: 787-444-1120