Provider Demographics
NPI:1881161081
Name:RODRIGUEZ URRUTIA, CESARLY (PSYD)
Entity type:Individual
Prefix:MISS
First Name:CESARLY
Middle Name:
Last Name:RODRIGUEZ URRUTIA
Suffix:
Gender:F
Credentials:PSYD
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 6400
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-6400
Mailing Address - Country:US
Mailing Address - Phone:787-224-2533
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA 65 DE INFANTERIA
Practice Address - Street 2:CAROLINA SHOPPING COURT, SUITE 201 A
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-200-7862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-26
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6132103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical