Provider Demographics
NPI:1780021022
Name:VALENTIN RODRIGUEZ, DALILA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DALILA
Middle Name:
Last Name:VALENTIN RODRIGUEZ
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 1:21 VILLAS DE ENSENAT
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-7524
Mailing Address - Country:US
Mailing Address - Phone:939-253-2371
Mailing Address - Fax:
Practice Address - Street 1:21 VILLAS DE ENSENAT
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-7524
Practice Address - Country:US
Practice Address - Phone:787-366-8077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-28
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004768103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical