Individual
MR. GUSTAVO ENRIQUE PAEZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3141
PR
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
04/08/2010
Last updated
10/29/2025
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