Individual
MIRIAM RODRIGUEZ ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 CALLE ADELINA HERNANDEZ RAMAL 1, BO. LAS CUEVAS, TRUJILLO ALTO, PR 00976-0127
(787) 505-9065
Mailing address
PO BOX 790, TRUJILLO ALTO, PR 00977
(787) 505-9065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12981
PR
Other
Enumeration date
04/04/2016
Last updated
11/21/2016
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