Provider Demographics
NPI:1780764423
Name:RODRIGUEZ CESPEDES, NELSA (MD)
Entity type:Individual
Prefix:
First Name:NELSA
Middle Name:
Last Name:RODRIGUEZ CESPEDES
Suffix:
Gender:F
Credentials:MD
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 9915
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00988
Mailing Address - Country:US
Mailing Address - Phone:787-256-0273
Mailing Address - Fax:787-876-7856
Practice Address - Street 1:LOCAL AA 6
Practice Address - Street 2:LOIZA VALLEY SHOPPING CENTER
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-256-0273
Practice Address - Fax:787-876-7856
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8007102L00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
0029315Medicare ID - Type Unspecified