Individual
MR. CARLOS RODRIGUEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TRABAJADOR SOCIAL
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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