Dr. Maritza Rodriguez-Lazu, Psy.D., CGG
Psychologist, Counseling in San Juan, PR. Individual provider (NPI-1).
NPI number1407320484
StatusActive
Last updated in NPPESDec 7, 2023
Details
- NPI
- 1407320484
- Entity type
- Individual (NPI-1)
- Name
- Dr. Maritza Rodriguez-Lazu
- Credential
- Psy.D., CGG
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 14, 2019
- Certification date
- Dec 7, 2023
- Last updated
- Dec 7, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | 5988 | PR | Yes |
Practice location
Chirino Office Plaza Carr. 8838 #1739Suite 204l Bo. Monacillos
San Juan, PR 00926-2745
Phone 939-270-0902
Mailing address
Po Box 262294San Juan, PR 00926-2655
Phone 939-270-0902
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