Individual
MRS. MARIBEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
CARRETERA 167 KM. 15, VILLA CHICA, BUENA VISTA, BAYAMON, PR 00956
(787) 319-9492
Mailing address
2-46 CALLE 44, ROYAL TOWN, BAYAMON, PR 00956-4515
(787) 319-9492
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
3031
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3031
PSICOLOGA
PR
Enumeration date
01/16/2009
Last updated
01/16/2009
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