Individual
DR. BENNY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
VISTA ALEGRE FORTUNA ST., 2054, PONCE, PR 00717-2054
(787) 299-0708
Mailing address
2054 VISTA ALEGRE FORTUNA ST, PONCE, PR 00717
(787) 299-0708
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3484
PR
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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