Active NPIIndividual providerSole proprietor

Irsa M Rodriguez

Psychologist, Clinical in Bayamon, Puerto Rico

NPI Number1164628111
Practice location
Carr 167 Km 24.3 Sector La Cambija, Antigua Central Juanita, Bayamon, PR 00956
Fax
—
Last updated
July 8, 2007

Irsa Maria Rodriguez is a Psychologist, Clinical based in Bayamon, PR. Irsa Maria Rodriguez practices in Bayamon, PR. The NPI Number for Irsa Maria Rodriguez is 1164628111 and holds a License No. 977 (PR). The current practice location address for Irsa Maria Rodriguez is Carr 167 Km 24.3 Sector La Cambija, Antigua Central Juanita, Bayamon, PR 00956 and can be reached out via phone at 787-854-7056.

Provider Profile Details

NPI Number
1164628111
Provider Name
Irsa Maria Rodriguez
Provider Entity Type
Individual
Gender
Female
Address
Carr 167 Km 24.3 Sector La Cambija, Antigua Central Juanita, Bayamon, PR 00956
Phone Number
787-854-7056
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 26, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr 167 Km 24.3 Sector La Cambija
Antigua Central Juanita
Bayamon, PR 00956
Zip
00956
Phone Number
787-854-7056
Bayamon, PR 00956Get directions →

Provider Business Mailing Address Details

Address
Po Box 936
Manati, PR 00674-0936
City
Manati
State
PR
Zip
00674-0936
Phone Number
787-854-7056

License Information

License Number
977
License State
PR
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Irsa M Rodriguez?

The NPI number of Irsa M Rodriguez is 1164628111. It was assigned on June 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Irsa M Rodriguez?

Irsa M Rodriguez is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 977.

Where does Irsa M Rodriguez practice?

The practice location is Carr 167 Km 24.3 Sector La Cambija, Antigua Central Juanita, Bayamon, PR 00956. The office can be reached at 787-854-7056 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164628111 directly on the NPPES registry website.

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