Individual
MAYRA ENID RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
H1 HACIENDA LA GLORIA, GUAYANILLA, PR 00656-1516
(787) 608-3980
Mailing address
H1 HACIENDA LA GLORIA, GUAYANILLA, PR 00656-1516
(787) 608-3980
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9649
PR
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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