Individual
LYDIA MERCEDES RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CARRETERA #14, AVE. TITO CASTRO, PONCE, PR 00732
(787) 840-6630
(787) 844-4130
Mailing address
PO BOX 7321, PONCE, PR 00732-7321
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
396
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
279728
SBSTANCE ABUSE TREATMENT
PR
Enumeration date
08/20/2010
Last updated
08/20/2010
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