# COPAN COMMUNITY CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306740972
- **Authorized official:** JANNETTE RODRIGUEZ RODRIGUEZ MD (PRESIDENT)
- **Authorized official phone:** (787) 438-9306

## Contact information

- **Practice address:** EDIFICIO GUBERNAMENTAL JOSE ARCHILLA CABRERA, CARR 825 KM 1 BO ACHIOTE, NARANJITO, PR 00719-9998
- **Practice address phone:** (787) 699-8689
- **Mailing address:** 117 CALLE REINA, DORADO, PR 00646-9401
- **Mailing address phone:** (787) 438-9306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 10/06/2026
- **Last updated:** 10/09/2026