Individual
MILDRED SUSANA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSPT / MPHE
Contact information
Practice address
RR #3 BOX 3962, SAN JUAN, PR 00926-9614
(787) 450-8811
(787) 720-7691
Mailing address
47TH ST SW #869 LAS LOMAS, SAN JUAN, PR 00920
(787) 450-8811
(787) 720-7691
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
280
PR
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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