Individual
DR. GLORYNELL ORTIZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
34 CARR 172 CALLE DOCTOR IGUINA, CIDRA, PR 00739
(787) 595-6593
Mailing address
PO BOX 1902, CIDRA, PR 00739-1902
(787) 595-6593
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
4318
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4318
PSYCHOLOGY
PR
Enumeration date
01/08/2016
Last updated
01/08/2016
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