Provider Demographics
NPI:1497633010
Name:BERRIOS RODRIGUEZ, TAINA MARIE (LIC)
Entity type:Individual
Prefix:MS
First Name:TAINA
Middle Name:MARIE
Last Name:BERRIOS RODRIGUEZ
Suffix:
Gender:F
Credentials:LIC
Other - Prefix:MS
Other - First Name:TAINA
Other - Middle Name:M
Other - Last Name:BERRIOS RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:URB. ESTANCIAS DEL RIO
Mailing Address - Street 2:114 CALLE FALMBOYAN
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729
Mailing Address - Country:US
Mailing Address - Phone:939-539-6137
Mailing Address - Fax:
Practice Address - Street 1:URB. ESTANCIAS DEL RIO
Practice Address - Street 2:114 CALLE FALMBOYAN
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:939-539-6137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR158691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical