Provider Demographics
NPI:1760101851
Name:RODRIGUEZ SILVA, KATHIAYARI (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KATHIAYARI
Middle Name:
Last Name:RODRIGUEZ SILVA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 664
Mailing Address - Street 2:
Mailing Address - City:MERCEDITA
Mailing Address - State:PR
Mailing Address - Zip Code:00715-0664
Mailing Address - Country:US
Mailing Address - Phone:787-449-5562
Mailing Address - Fax:787-812-3931
Practice Address - Street 1:BO.CANAS CARRETERA 132 KM 22.1
Practice Address - Street 2:PLAZA GABRIELA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728
Practice Address - Country:US
Practice Address - Phone:787-812-3930
Practice Address - Fax:787-812-3931
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-23
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7440103TB0200X, 103TH0004X, 103TP2701X, 103T00000X
7440103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy