Individual
DR. MARY S RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
BOX 1262, COAMO, PR 00769-1262
(787) 599-5032
Mailing address
PO BOX 1262, COAMO, PR 00769-1262
(787) 599-5032
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2899
PR
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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