Individual
MR. CARLOS RODRIGUEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TRABAJADOR SOCIAL
Contact information
Practice address
URB. ALTAGRACIA CALLE PAVO REAL, K-32, TOA BAJA, PR 00949
(787) 458-6103
Mailing address
URB. ALTAGRACIA CALLE PAVO REAL, K-32, TOA BAJA, PR 00949
(787) 458-6103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13457
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13457
TRABAJADOR SOCIAL
PR
01
—
2314185
LICENCIA DE CONDUCIR
PR
Enumeration date
05/18/2020
Last updated
05/18/2020
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