Healthcare Provider Details

I. General information

NPI: 1972434728
Provider Name (Legal Business Name): NOVAPSYCH PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CENTRO SAN CRISTOBAL SUITE 207
SANTA ISABEL PR
00757-0000
US

IV. Provider business mailing address

CENTRO SAN CRISTOBAL SUITE 207
SANTA ISABEL PR
00757-0000
US

V. Phone/Fax

Practice location:
  • Phone: 787-934-6833
  • Fax:
Mailing address:
  • Phone: 787-934-6833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH RODRIGUEZ ROCHE
Title or Position: PRESIDENT
Credential: MD
Phone: 787-709-3743