Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 2085 | PR |
NPI | 1003020769 |
---|---|
Provider Name | Lurdes Rodriguez Anaya |
First Address | San German, PR 00683-4223 |
Second Address | Mayaguez, PR 00680 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 08/07/2007 |