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Individual

MRS. ELAINE MARIE RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
#3640 AVE. BOULEVARD, TOA BAJA, PR 00949
(787) 961-8077
Mailing address
URB. LOS FAROLES #89, CALLE PASEO LA GALETA, BAYAMON, PR 00956
(787) 506-5711

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
005017
PR
235Z00000X
Speech-Language Pathologist
Primary
4092
PR

Other

Enumeration date
04/07/2015
Last updated
06/09/2021
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