Provider Demographics
NPI:1013123728
Name:RODRIGUEZ-ISAAC, MARIA (MA)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:
Last Name:RODRIGUEZ-ISAAC
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:A-2 # 1 CALLE A
Mailing Address - Street 2:URBA SANTA ELENITA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957
Mailing Address - Country:US
Mailing Address - Phone:787-251-7310
Mailing Address - Fax:
Practice Address - Street 1:A-2 # 1 CALLE A
Practice Address - Street 2:URBA SANTA ELENITA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957
Practice Address - Country:US
Practice Address - Phone:787-251-7310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1836103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling