Individual
DR. LOURDES MARIE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1666 CALLE PARANA, SAN JUAN, PR 00926-3145
(787) 765-7063
(787) 765-7063
Mailing address
PO BOX 70250, PMB 236, SAN JUAN, PR 00936-8250
(787) 765-7063
(787) 765-7063
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2360
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2900
HUMANA INSURANCE
PR
01
—
555145
FHC HEALTH SYSTEMS
PR
01
—
56792 RO
TRIPLE-S, INC.
PR
01
—
A547
INTERNATIONAL MEDICAL CAR
PR
Enumeration date
03/27/2006
Last updated
02/07/2012
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