Organization
SERVICIOS PSICOLOGICOS RAIGAMBRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN RODRIGUEZ M.S. (ADMINISTRATOR)
(787) 292-0205
Entity
Organization
Contact information
Practice address
PLAZA CUPEY GARDENS SECTOR 3, URB CUPEY GARDENS, SAN JUAN, PR 00936
(787) 292-0205
(787) 292-0205
Mailing address
HC 645 BOX 6387, TRUJILLO ALTO, PR 00976-9746
(787) 292-0205
(787) 292-0205
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1330
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075148
PSIC.
PR
01
—
1713
PSYC.
PR
01
—
1739
PSYC.
PR
01
—
2246
PSYC.
PR
01
—
2403
PSYC.
PR
01
—
503628
PSYC.
PR
01
—
758
PSYCHOLOGIST
PR
01
—
A842
PSIC.
PR
01
—
A861
PSYC.
PR
Enumeration date
07/30/2006
Last updated
08/22/2020
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