| Doctor Name: | ANAIDA M RODRIGUEZ |
| NPI Number: | 1215162201 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 16645 |
| Business Practice Address: | Ave. Luis Munoz Rivera 91 Santa Isabel, PR - 007570057 |
| Business Phone Number: | 7878451188 |
| Business Fax Number: | 7878451188 |
| Mailing Address: | Po Box 2055, SALINAS |
| State: | PR |
| Postal Code: | 007512001 |
| Phone Number: | 7878450458 |
| Fax Number: | 7878450458 |
| NPI Enumeration Date: | 05/20/2009 |
| NPI Last Update Date: | 05/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 16645 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |