Provider Demographics
NPI:1023229945
Name:RODRIGUEZ, OLGA MARIA (PSYCHOLOGIST)
Entity type:Individual
Prefix:MS
First Name:OLGA
Middle Name:MARIA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:F-9 ROBLES VILLA TURABO CAGUAS PR 00725
Mailing Address - Street 2:PO BOX 1600 SUITE 714
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739
Mailing Address - Country:US
Mailing Address - Phone:787-635-5830
Mailing Address - Fax:
Practice Address - Street 1:19 LUCERO EL VERDE CAGUAS PR
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-635-5830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR1098103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist