Provider Demographics
NPI:1407188246
Name:PLAZAS RODRIGUEZ, HERNAN (PSYCHOLOGIST)
Entity Type:Individual
Prefix:MR
First Name:HERNAN
Middle Name:
Last Name:PLAZAS RODRIGUEZ
Suffix:
Gender:M
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2188
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683
Mailing Address - Country:US
Mailing Address - Phone:787-538-4001
Mailing Address - Fax:
Practice Address - Street 1:EDIFICIO MEDICAL EMPORIUM II CARR #2 KM 156.5
Practice Address - Street 2:SUITE A 14
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-9998
Practice Address - Country:US
Practice Address - Phone:787-265-6644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-04
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2782103TA0400X, 103TB0200X, 103TC2200X, 103TF0000X, 103TF0200X, 103TP2701X, 106H00000X, 103TC1900X, 103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling