Individual
MRS. ILIANA M RODRIGUEZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
T.O.
Contact information
Practice address
BO. MARIANA I CARR. 3 URB. MIRADERO, CAMINO DE LAS VISTAS 118, HUMACAO, PR 00791-9735
(787) 299-3906
Mailing address
URB. MIRADERO #118 CAMINO DE LAS VISTAS, HUMACAO, PR 00791-9735
(787) 299-3906
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1012
PR
Other
Enumeration date
04/09/2010
Last updated
03/15/2011
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