Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 2896 | PR |
Y | 103TC0700X | Clinical Psychologist | 2896 | PR |
NPI | 1003040361 |
---|---|
Provider Name | Dr. Rosa Janet Rodriguez |
First Address | Caguas, PR 00725-3337 |
Second Address | Santurce, PR 00909-1820 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2009 |
Last Update Date | 14/05/2009 |