Doctor Name: | DR. MARIA D. RODRIGUEZ ROSA |
NPI Number: | 1033487400 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | 3812 |
Business Practice Address: | Bo. Los Llanos Carr. 14 Km. 27.8 Coamo, PR - 00769 |
Business Phone Number: | 7879295511 |
Business Fax Number: | |
Mailing Address: | Hc 1 Box 15781, COAMO |
State: | PR |
Postal Code: | 007699756 |
Phone Number: | 7879295511 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2011 |
NPI Last Update Date: | 12/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 3812 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |