Individual
ISMAEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
165 LAGOS DEL NORTE, 305, TOA BAJA, PR 00949
(787) 484-0452
Mailing address
LAGOS DEL NORTE 165, 305, TOA BAJA, PR 00949
(787) 484-0452
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5544
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5544
NUMERO DE LICENCIA DE TRABAJO SOCIAL
PR
Enumeration date
07/15/2008
Last updated
07/15/2008
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