Provider Demographics
NPI:1508908252
Name:RODRIGUEZ-VERA, KAREN (DR)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:RODRIGUEZ-VERA
Suffix:
Gender:F
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE AGUSTIN DAVIU #4209
Mailing Address - Street 2:URB. PERLA DEL SUR
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-0322
Mailing Address - Country:US
Mailing Address - Phone:787-210-4579
Mailing Address - Fax:
Practice Address - Street 1:1 CALLE SALVADOR LUGO
Practice Address - Street 2:STE 1
Practice Address - City:ADJUNTAS
Practice Address - State:PR
Practice Address - Zip Code:00601-2200
Practice Address - Country:US
Practice Address - Phone:787-210-4579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1731103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling