Individual
MANUEL JUNIOR RODRIGUEZ SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PASEOS DORADOS #66 CAYEY P.R 0, CAYEY, PR 00736
(787) 664-1501
Mailing address
PO BOX 153, LA PLATA, PR 00786-0153
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12957
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1008070621
PRACTICE PRIVATE
PR
Enumeration date
03/07/2023
Last updated
03/07/2023
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