Provider Demographics
NPI:1962823922
Name:VALENTIN RODRIGUEZ, DALILA-CABEI CSP
Entity Type:Organization
Organization Name:VALENTIN RODRIGUEZ, DALILA-CABEI CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DALILA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-253-2371
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:CARR. 417 KM 2.7 BO. MALPASO
Practice Address - Street 2:EDIFICIO CARIBBEAN OFFICE PARK
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602
Practice Address - Country:US
Practice Address - Phone:939-253-2371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-18
Last Update Date:2013-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4768261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center