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Individual

DR. IBELIS RODRIGUEZ COSME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
CALLE ISAAC GONZALEZ MARTINEZ ESQUINA LEDESMA, UTUADO, PR 00641
(787) 939-1100
Mailing address
URB RIO PIEDRAS HEIGHTS CALLE TIBER, 1650 ALTOS, SAN JUAN, PR 00926
(787) 515-4955

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6562
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6062172
DRIVERS LICENSE NUMBER
PR
Enumeration date
07/11/2018
Last updated
03/18/2024
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