Provider Demographics
NPI:1174412480
Name:RODRIGUEZ-AMARO, MAGALY
Entity type:Individual
Prefix:
First Name:MAGALY
Middle Name:
Last Name:RODRIGUEZ-AMARO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 1 BOX 2275
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-9837
Mailing Address - Country:US
Mailing Address - Phone:787-557-4472
Mailing Address - Fax:
Practice Address - Street 1:BO. MONTELLANO AVE. ANTONIO R. BARCELO KM 72.2
Practice Address - Street 2:
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-207-4628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2800103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling