Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Zullyenivette Otero Rodriguez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114650371

Zullyenivette Otero Rodriguez is a Clinical Psychologist in Ponce, Puerto Rico. Qualified in 2024, 2 years ago. Licensed in Puerto Rico.

Years since qualifying
2
Licensed in
PR
In the registry since
2022
Specialties on file
2
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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

388 Zona Ind Reparada 2
Ponce, PR 00716-2347
Phone: (787) 840-2575

No coordinates on file. Search this address in Google Maps

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 8487 (PR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (PR)

Record details

NPI number1114650371
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 6, 2022
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Ponce