Provider Demographics
NPI:1598776569
Name:RODRIGUEZ ALONSO, MARIA DEL AMOR (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARIA DEL AMOR
Middle Name:
Last Name:RODRIGUEZ ALONSO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:217 A ITURREGUI PLAZA
Mailing Address - Street 2:217 A
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-0000
Mailing Address - Country:US
Mailing Address - Phone:787-768-5501
Mailing Address - Fax:787-768-8094
Practice Address - Street 1:25 BLVD MEDIA LUNA
Practice Address - Street 2:704 APT PARQUE DE LAS FLORES
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-4822
Practice Address - Country:US
Practice Address - Phone:787-691-2973
Practice Address - Fax:787-768-8094
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR002141103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRP78513Medicare UPIN