Individual
IVELISSE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
AD19 CALLE 29, TRUJILLO ALTO, PR 00976-3408
(787) 565-5808
Mailing address
AD19 CALLE 29, TRUJILLO ALTO, PR 00976-3408
(787) 246-0055
(787) 792-3610
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
536
PR
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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