| Doctor Name: | MR. EDUARDO LUIS RODRIGUEZ RAMOS |
| NPI Number: | 1689905192 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D |
| License Number: | 3660 |
| Business Practice Address: | Edificio Tomas Kuiland 2do Piso Suite 15 Carr 167 Bayamon, PR - 009590000 |
| Business Phone Number: | 7874624077 |
| Business Fax Number: | |
| Mailing Address: | Po Box 3409, BAYAMON |
| State: | PR |
| Postal Code: | 009580409 |
| Phone Number: | 7874624077 |
| Fax Number: | |
| NPI Enumeration Date: | 01/22/2010 |
| NPI Last Update Date: | 06/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 3660 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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. |