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Individual

LUIS DANIEL RODRIGUEZ ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.C.; M.H.C.; L.P.C.

Contact information

Practice address
J9 CALLE 2, EXTENSION HERMANAS DAVILA, BAYAMON, PR 00959
(787) 622-5420
(787) 622-5430
Mailing address
CALLE HORTENSIA COND SKY TOWER II APT 16F, SAN JUAN, PR 00926
(939) 235-9477

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
4345
PR
101YM0800X
Mental Health Counselor
Primary
4345
PR

Other

Enumeration date
10/29/2018
Last updated
10/29/2018
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