Individual
DR. WALTER RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
316 ROAD KM 0.9, LAJAS, PR 00667-0397
(787) 402-4299
Mailing address
PO BOX 397, LAJAS, PR 00667-0397
(787) 402-4299
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1290
PR
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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