Individual
JAVIER ENRIQUE RODRIGUEZ GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
CARR 149 BO. ARRIBA SALIENTE, BO. RIO ARRIBA SALIENTE, MANATI, PR 00674
(787) 391-2890
Mailing address
CARR. 149 BARRIO JAGUAS, CIALES, PR 00638-0366
(787) 391-2890
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2687
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202020
—
PR
Enumeration date
11/11/2010
Last updated
11/11/2010
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