Provider Demographics
NPI:1477822542
Name:RODRIGUEZ, ARLENE (PSY D)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2053 PEDRO ALBIZU AVE
Mailing Address - Street 2:SUIT 2 PMB 341
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603-6083
Mailing Address - Country:US
Mailing Address - Phone:787-560-7597
Mailing Address - Fax:
Practice Address - Street 1:1153 AVE. EMERITO ESTRADA RIVERA
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685
Practice Address - Country:US
Practice Address - Phone:787-560-7597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-20
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4038103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical