Individual
KENNETH LOPEZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
BO CARMELITA, BUZON 12 CALLE 9, VEGA BAJA, PR 00693-3714
(787) 224-1736
Mailing address
BO CARMELITA, BUZON 12 CALLE 9, VEGA BAJA, PR 00693-3714
(787) 224-1736
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
6502
PR
Other
Enumeration date
12/11/2024
Last updated
10/05/2025
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