Healthcare Provider Details

I. General information

NPI: 1326771148
Provider Name (Legal Business Name): EMANUEL CUEVAS RODRIGUEZ PSY. D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2022
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 AVE MUNOZ RIVERA
SAN JUAN PR
00925-2717
US

IV. Provider business mailing address

1007 AVENIDA MUNOZ RIVERA COND. DARLINGTON, APT 710
SAN JUAN PR
00925-2723
US

V. Phone/Fax

Practice location:
  • Phone: 787-204-9596
  • Fax:
Mailing address:
  • Phone: 787-204-9596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number8137
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: