Healthcare Provider Details

I. General information

NPI: 1013828102
Provider Name (Legal Business Name): AMARILYS RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE LUIS MUNOZ MARIN ULICES MARTINEZ 55
HUMACAO PR
00791
US

IV. Provider business mailing address

PO BOX 1444
YABUCOA PR
00767-1444
US

V. Phone/Fax

Practice location:
  • Phone: 787-852-2470
  • Fax: 787-285-4165
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: