Provider Demographics
NPI:1225379555
Name:RODRIGUEZ-UBINAS, HEIDE LINNETTE (PHD)
Entity Type:Individual
Prefix:
First Name:HEIDE
Middle Name:LINNETTE
Last Name:RODRIGUEZ-UBINAS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:954 AVE PONCE DE LEON
Mailing Address - Street 2:MIRAMAR PLAZA CENTER, SUITE 603
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-3646
Mailing Address - Country:US
Mailing Address - Phone:787-310-2465
Mailing Address - Fax:
Practice Address - Street 1:954 AVE PONCE DE LEON
Practice Address - Street 2:MIRAMAR PLAZA CENTER, SUITE 603
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-310-2465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-12
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3154103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist