Individual
LUIS ADOLFO RODRIGUEZ ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TAC-III, TFC-III
Contact information
Practice address
D57 URB SAN MIGUEL, SANTA ISABEL, PR 00757-2527
(787) 558-0017
Mailing address
PO BOX 66, SANTA ISABEL, PR 00757-0066
(787) 558-0017
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
TAC-III-05-20-1226
PR
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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