Provider Demographics
NPI:1962661801
Name:RODRIGUEZ APONTE, WALESKA
Entity Type:Individual
Prefix:MRS
First Name:WALESKA
Middle Name:
Last Name:RODRIGUEZ APONTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB LA MONSERRATE CALLE 5 D 36
Mailing Address - Street 2:
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660
Mailing Address - Country:US
Mailing Address - Phone:787-519-4925
Mailing Address - Fax:
Practice Address - Street 1:CARR 402 KM 2 1 BO MARIAS
Practice Address - Street 2:CENTRO PSICOLOGICO FAROS
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610
Practice Address - Country:US
Practice Address - Phone:787-519-4925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2355103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist