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General NPI Number Information
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NPI Number | 1588513501
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Entity Type | Individual
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Provider Name | MICHELLE RODRIGUEZ PSYD
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Gender | Female
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | UNIVERSIDAD TEOLOGICA DEL CARIBE ROAD 848 KM. 0.5 CALLEJON MARQUEZ, BO. SAINT JUST
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City | TRUJILLO ALTO
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State | PR
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Zip | 00978
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Country | US
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Telephone | 939-577-6868
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Fax |
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Provider Business Mailing Address
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Address Line | URB RIVERSIDE PARK CALLE 1 A-12
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City | BAYAMON
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State | PR
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Zip | 00961
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Country | US
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Telephone | 939-577-6868
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 5989
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License Number State | PR
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