Provider Demographics
NPI:1669774840
Name:RODRIGUEZ, YELITZA (MS, PHL)
Entity type:Individual
Prefix:
First Name:YELITZA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MS, PHL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1424
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-1424
Mailing Address - Country:US
Mailing Address - Phone:787-643-2007
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL MNEONITA DE CAGUAS
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726-1424
Practice Address - Country:US
Practice Address - Phone:787-643-2007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-22
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1097235Z00000X
PR10392355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant