Individual
ALEXIS RODRIGUEZ RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CALLE 6 #241 PARCELAS FORTUNAS, LUQUILLO, PR 00773
(787) 406-8039
Mailing address
HC 2 BOX 3929, LUQUILLO, PR 00773-9821
(787) 406-8039
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
100507993
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6126437
PRIVATE
PR
05
—
6126437
—
PR
Enumeration date
06/09/2022
Last updated
06/13/2022
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