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Organization
COPAN COMMUNITY CENTER INC
Active
Organization
COPAN COMMUNITY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNETTE RODRIGUEZ RODRIGUEZ MD (PRESIDENT)
(787) 438-9306
Entity
Organization
Contact information
Practice address
EDIFICIO GUBERNAMENTAL JOSE ARCHILLA CABRERA, CARR 825 KM 1 BO ACHIOTE, NARANJITO, PR 00719-9998
(787) 699-8689
Mailing address
117 CALLE REINA, DORADO, PR 00646-9401
(787) 438-9306
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103TA0700X
Adult Development & Aging Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
—
NULL
103TF0000X
Family Psychologist
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/06/2026
Last updated
10/09/2026
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