ZULLYENIVETTE OTERO RODRIGUEZ
NPI 1114650371
Psychologist - Clinical in Ponce, PR

Q: What is Zullyenivette Otero Rodriguez's NPI number?

The NPI number for Zullyenivette Otero Rodriguez is 1114650371. It was assigned to this individual provider in the NPPES registry on July 6, 2022.

Q: What is Zullyenivette Otero Rodriguez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since July 06, 2022PECOS Enrolled

388 ZONA IND REPARADA 2, PONCE, PR 00716(787) 840-2575 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2025, Jul 6, 2022 (2 updates tracked since 2022).

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About Zullyenivette Otero Rodriguez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZULLYENIVETTE OTERO RODRIGUEZ (NPI 1114650371) is an individual clinical provider in Ponce, Puerto Rico, licensed in Puerto Rico (8487) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1114650371

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameZULLYENIVETTE OTERO RODRIGUEZ

Location Address388 ZONA IND REPARADA 2Ponce, PR 00716-2347

Mailing Address388 Zona Ind Reparada 2Ponce, PR 00716-2347 · (787) 840-2575

Phone(787) 840-2575

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 6, 2022

Last NPPES UpdateJune 3, 20252 updates tracked since enumeration

NPPES CertifiedJune 3, 2025

✔ NPI 1114650371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in PR · 8487

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zullyenivette Otero Rodriguez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385128669

PECOS Enrollment IDI20260324004249

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Zullyenivette Otero Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Goldenminds LLC

Mental Health (Including Community Mental Health Center)

EXT SANTA TERESITA 4006 CALLE SANTA CATALINA
Ponce, PR 00730

Reassigned Medicare billing, Puerto Rico enrollment

NPI 1558253542 (787) 231-3421

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00716 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$172.44 typical visit price

range $56.86 – $172.44

Typical copayment $43.11 (range $14.21 – $43.11)

Most-billed visit code 99205

Established Patient

$100.24 typical visit price

range $18.24 – $140.44

Typical copayment $25.06 (range $4.56 – $35.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAVIER IGNACIO CALZADA

Student in an Organized Health Care Education/Training Program