Doctor Name: | LYNETTE RIOS RODRIGUEZ |
NPI Number: | 1164585873 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.P.T. |
License Number: | 1279 |
Business Practice Address: | C20 Calle 5 Estancias De San Fernando Carolina, PR - 009855215 |
Business Phone Number: | 7877506241 |
Business Fax Number: | 7877506241 |
Mailing Address: | Calle 5 Bloque C Numero 20, Estancias De San Fernando CAROLINA |
State: | PR |
Postal Code: | 00985 |
Phone Number: | 7877506241 |
Fax Number: | 7877506241 |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 07/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 1279 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |