MEDICARE: DR. MARIA DEL AMOR RODRIGUEZ ALONSO PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	002141	PR

General Provider Information

NPI Number	:	1598776569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA DEL AMOR RODRIGUEZ ALONSO PH.D.

Provider Business Mailing Address
First Line	:	217 A ITURREGUI PLAZA
Second Line	:	217 A
City	:	SAN JUAN
State	:	PR
Zip	:	00926-0000
Country	:	US
Telephone Number	:	787-768-5501
Fax Number	:	787-768-8094

Provider Business Practice Location Address
First Line	:	25 BLVD MEDIA LUNA
Second Line	:	704 APT PARQUE DE LAS FLORES
City	:	CAROLINA
State	:	PR
Zip	:	00987-4822
Country	:	US
Telephone Number	:	787-691-2973
Fax Number	:	787-768-8094

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	07/09/2007

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