Provider Demographics
NPI:1942875968
Name:RODRIGUEZ LAMELA, JAYLEEN (RN)
Entity Type:Individual
Prefix:MISS
First Name:JAYLEEN
Middle Name:
Last Name:RODRIGUEZ LAMELA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JAYLEEN
Other - Middle Name:
Other - Last Name:RODRIGUEZ LAMELA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 71474
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-8574
Mailing Address - Country:US
Mailing Address - Phone:787-641-9133
Mailing Address - Fax:
Practice Address - Street 1:CARR. 110 INTERSECCION CARR 111
Practice Address - Street 2:
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676
Practice Address - Country:US
Practice Address - Phone:787-641-9133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR87172163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health