Individual
IRSA MARIA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 167 KM 24.3 SECTOR LA CAMBIJA, ANTIGUA CENTRAL JUANITA, BAYAMON, PR 00956
(787) 854-7056
Mailing address
PO BOX 936, MANATI, PR 00674-0936
(787) 854-7056
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
977
PR
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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