Healthcare Provider Details

I. General information

NPI: 1780548685
Provider Name (Legal Business Name): ZULEYKA RODRIGUEZ ORTA PSY D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC 6 BOX 93251
ARECIBO PR
00612-9660
US

IV. Provider business mailing address

HC 6 BOX 93251
ARECIBO PR
00612-9660
US

V. Phone/Fax

Practice location:
  • Phone: 787-552-5353
  • Fax:
Mailing address:
  • Phone: 787-552-5353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number008871
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: