Provider Demographics
NPI:1922971183
Name:RODRIGUEZ, RAMON
Entity type:Individual
Prefix:MR
First Name:RAMON
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 4 BOX 6693
Mailing Address - Street 2:
Mailing Address - City:COMERIO
Mailing Address - State:PR
Mailing Address - Zip Code:00782-9863
Mailing Address - Country:US
Mailing Address - Phone:787-553-7996
Mailing Address - Fax:787-553-7996
Practice Address - Street 1:HC 4 BOX 6693
Practice Address - Street 2:
Practice Address - City:COMERIO
Practice Address - State:PR
Practice Address - Zip Code:00782-9863
Practice Address - Country:US
Practice Address - Phone:787-553-7996
Practice Address - Fax:787-553-7996
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-24
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty