Provider Demographics
NPI:1811036759
Name:RODRIGUEZ, NEFTALI (MS, PHD)
Entity type:Individual
Prefix:DR
First Name:NEFTALI
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:MS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:ROAD #2 KM 40.1 SUITE 1
Mailing Address - Street 2:PLAZA JARDINES
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-3980
Mailing Address - Country:US
Mailing Address - Phone:787-858-2818
Mailing Address - Fax:787-858-2818
Practice Address - Street 1:231 JARDIN TROPICAL
Practice Address - Street 2:URB JDNES VB
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-3980
Practice Address - Country:US
Practice Address - Phone:787-858-2818
Practice Address - Fax:787-858-2818
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR603103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical