Active NPIIndividual providerSole proprietor

Ezequiel M Rodriguez, MA

Psychologist, School in San Juan, Puerto Rico

NPI Number1538308036
Practice location
Cond Santa Rita # 1000, San Juan, PR 00925-2857
Fax
—
Last updated
February 7, 2009

Ezequiel Medina Rodriguez is a Psychologist, School based in San Juan, PR. Ezequiel Medina Rodriguez practices in San Juan, PR and has the professional credentials of MA. The NPI Number for Ezequiel Medina Rodriguez is 1538308036 and holds a License No. 3270 (PR). The current practice location address for Ezequiel Medina Rodriguez is Cond Santa Rita # 1000, San Juan, PR 00925-2857 and can be reached out via phone at 787-633-3335.

Provider Profile Details

NPI Number
1538308036
Provider Name
Ezequiel Medina Rodriguez
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
Cond Santa Rita # 1000, San Juan, PR 00925-2857
Phone Number
787-633-3335
Primary Taxonomy
Psychologist, School · 103TS0200X
Sole Proprietor
Yes
Provider Enumeration Date
February 7, 2009
Last Update Date
February 7, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
Cond Santa Rita # 1000
San Juan, PR 00925-2857
Zip
00925-2857
Phone Number
787-633-3335
San Juan, PR 00925Get directions →

Provider Business Mailing Address Details

Address
Po Box 141446
Arecibo, PR 00614-1446
City
Arecibo
State
PR
Zip
00614-1446
Phone Number
787-633-3335

License Information

Taxonomy (1)
Psychologist, Cognitive & Behavioral · 103TB0200X
Taxonomy (3)
Psychologist, Family · 103TF0000X
License Number (5)
3270
License State (5)
PR
Taxonomy (5)
Psychologist, School · 103TS0200X · 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 Ezequiel M Rodriguez, MA?

The NPI number of Ezequiel M Rodriguez, MA is 1538308036. It was assigned on February 7, 2009 and is currently active in the NPPES registry.

What is the specialty of Ezequiel M Rodriguez, MA?

Ezequiel M Rodriguez, MA is registered under the primary taxonomy Psychologist, School (code 103TS0200X), licensed in PR under license number 3270.

Where does Ezequiel M Rodriguez, MA practice?

The practice location is Cond Santa Rita # 1000, San Juan, PR 00925-2857. The office can be reached at 787-633-3335 (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 1538308036 directly on the NPPES registry website.

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