Individual
DR. RAISA AIMME RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
AVE. SANCHEZ CASTANO 2DA EXT VILLA CAROLINA, CALLE 18 BLQ. 22 # 2, CAROLINA, PR 00985
(787) 637-0375
(787) 752-8466
Mailing address
COND JARDIN SERENO APT 1002, CAROLINA, PR 00983
(787) 637-0375
(787) 752-8466
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4189
PR
103TC0700X
Clinical Psychologist
Primary
4189
PR
103TC2200X
Clinical Child & Adolescent Psychologist
4189
PR
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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