Individual
JENIFFER RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARRETERA 348 INT KM 0.6 QUEBRADA GRANDE, MAYAGUEZ, PR 00680
(787) 365-7008
Mailing address
PO BOX 1282, HORMIGUEROS, PR 00660-5282
(787) 365-7008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12846
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4582806
DRIVER LICENSE
PR
Enumeration date
02/22/2018
Last updated
02/22/2018
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