Individual
MRS. MARILYN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
200 AVE CUPEY GDNS, PLAZA CUPEY GARDEN, SECTOR #3, SAN JUAN, PR 00926-7341
(787) 292-0205
(787) 292-0205
Mailing address
HC 645 BOX 6387, TRUJILLO ALTO, PR 00976-9746
(787) 292-0205
(787) 292-0205
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1693
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1713
PSYCHOLOGIST
PR
01
—
2403
PSYCHOLOGIST
PR
Enumeration date
02/09/2007
Last updated
07/08/2007
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