Provider Demographics
NPI:1982411732
Name:RODRIGUEZ VALEDON, LAURA PAOLA (PSYD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:PAOLA
Last Name:RODRIGUEZ VALEDON
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:LAS DELICIAS #1542
Mailing Address - Street 2:CALLE STGO. OPPENHEIMER
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728
Mailing Address - Country:US
Mailing Address - Phone:939-282-8222
Mailing Address - Fax:
Practice Address - Street 1:1050 AVE. LAS PALMAS LOCAL4
Practice Address - Street 2:CONDOMINIO PUERTA DE LA BAHIA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-0071
Practice Address - Country:US
Practice Address - Phone:939-282-8222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-16
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8274103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical