Provider Demographics
NPI:1275666216
Name:GONZALEZ RODRIGUEZ, CATALINA (PT)
Entity Type:Individual
Prefix:
First Name:CATALINA
Middle Name:
Last Name:GONZALEZ RODRIGUEZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MANSIONES DE SANTA BARBARA
Mailing Address - Street 2:CALLE CORAL B- 26
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778
Mailing Address - Country:US
Mailing Address - Phone:787-530-0005
Mailing Address - Fax:
Practice Address - Street 1:EDIFICIO GUAYACAN
Practice Address - Street 2:CALLE JULIO CINTRON 202 SUITE 221
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705
Practice Address - Country:US
Practice Address - Phone:787-735-0290
Practice Address - Fax:787-735-0380
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1221225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist