Provider Demographics
NPI:1992440077
Name:RODRIGUEZ VALDES, SOMAYRA (MSW)
Entity type:Individual
Prefix:
First Name:SOMAYRA
Middle Name:
Last Name:RODRIGUEZ VALDES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SAVANNAH REAL
Mailing Address - Street 2:#54 CALLE PASEO REAL
Mailing Address - City:SAN LORENZO
Mailing Address - State:PR
Mailing Address - Zip Code:00754
Mailing Address - Country:US
Mailing Address - Phone:787-364-9081
Mailing Address - Fax:
Practice Address - Street 1:SAVANNAH REAL
Practice Address - Street 2:#54 CALLE PASEO REAL
Practice Address - City:SAN LORENZO
Practice Address - State:PR
Practice Address - Zip Code:00754
Practice Address - Country:US
Practice Address - Phone:787-364-9081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR152451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical