Healthcare Provider Details

I. General information

NPI: 1922971183
Provider Name (Legal Business Name): MR. RAMON RODRIGUEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC 4 BOX 6693
COMERIO PR
00782-9863
US

IV. Provider business mailing address

HC 4 BOX 6693
COMERIO PR
00782-9863
US

V. Phone/Fax

Practice location:
  • Phone: 787-553-7996
  • Fax: 787-553-7996
Mailing address:
  • Phone: 787-553-7996
  • Fax: 787-553-7996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: