Provider Demographics
NPI:1518726579
Name:RODRIGUEZ, NATALIA DIAZ (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:NATALIA
Middle Name:DIAZ
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. VILLAS DE CANDELERO CALLE CARD
Mailing Address - Street 2:K22
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791
Mailing Address - Country:US
Mailing Address - Phone:787-329-0992
Mailing Address - Fax:
Practice Address - Street 1:URB. VILLAS DE CANDELERO CALLE CARDENAL
Practice Address - Street 2:K22
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00792
Practice Address - Country:US
Practice Address - Phone:787-329-0992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR160041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical