{
"Npi": {
"NPI": "1700730033",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "RODRIGUEZ LUGO",
"FirstName": "MICHELLE",
"MiddleName": "STEPHANIE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "RODRIGUEZ LUGO",
"OtherFirstName": "MICHELLE",
"OtherMiddleName": "STEPHANIE",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "PSYD",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "VALLE HERMOSO N9 CALLE TILO",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HORMIGUEROS",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00660-1415",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "939-266-6349",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "826 EDIFICIO VILLA CAPITAN III",
"SecondLinePracticeLocationAddress": "SUITE 101",
"PracticeLocationAddressCityName": "MAYAGUEZ",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00680-1536",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-832-5986",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/24/2026",
"LastUpdateDate": "02/24/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "103TC1900X",
"TaxonomyName": "Counseling Psychologist",
"LicenseNumber": "7612",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}