Individual
RODOLFO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
HOSP PSIQUIATRIA DR RAMON FERNANDEZ MARINA, SAN JUAN, PR 00922
(787) 766-4646
Mailing address
PO BOX 19271, SAN JUAN, PR 00910-1271
(787) 756-7901
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
396
PR
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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