Individual
JOSE FERNANDEZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
HC 1 BOX 60021, LAS PIEDRAS, PR 00771-9891
(939) 246-2144
Mailing address
HC 1 BOX 60021, LAS PIEDRAS, PR 00771-9891
(939) 246-2144
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
5795
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5795
STATE LICENCE
PR
Enumeration date
03/16/2017
Last updated
03/16/2017
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