Provider Demographics
NPI:1255693040
Name:RODRIGUEZ, DANILU (MSW)
Entity type:Individual
Prefix:MRS
First Name:DANILU
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 ESTANCIAS DE IMBERY
Mailing Address - Street 2:
Mailing Address - City:BARCELONETA
Mailing Address - State:PR
Mailing Address - Zip Code:00617-9717
Mailing Address - Country:US
Mailing Address - Phone:787-313-0176
Mailing Address - Fax:
Practice Address - Street 1:101 ESTANCIAS DE IMBERY
Practice Address - Street 2:
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617-9717
Practice Address - Country:US
Practice Address - Phone:787-313-0176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11173104100000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker