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1801752456 NPI number — SHAYSMARIE LEE RODRIGUEZ NIEVES

NPI Number: 1801752456
Health Care Provider/Practitioner: SHAYSMARIE LEE RODRIGUEZ NIEVES

Information about “1801752456” NPI (SHAYSMARIE LEE RODRIGUEZ NIEVES) exists in 1801752456 in HTML format HTML  |  1801752456 in plain Text format TXT  |  1801752456 in PDF (Portable Document Format) PDF  |  1801752456 in an XML format XML  formats.

NPI Number : 1801752456 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801752456",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RODRIGUEZ NIEVES",
    "FirstName": "SHAYSMARIE",
    "MiddleName": "LEE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "137 CALLE ANGELITO NIEVES",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AGUADILLA",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00603",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "939-388-5296",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "137 CALLE ANGELITO NIEVES",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AGUADILLA",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00603",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "939-388-5296",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/29/2025",
    "LastUpdateDate": "12/29/2025",
    "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": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "8870",
          "LicenseNumberStateCode": "PR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "8870",
          "LicenseNumberStateCode": "PR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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