MEDICARE: MISS AMARILYS RODRIGUEZ COLON PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	3296

General Provider Information

NPI Number	:	1578799839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS AMARILYS RODRIGUEZ COLON PHD

Provider Business Mailing Address
First Line	:	URB EL DORADO
Second Line	:	CALLE C D 8
City	:	SAN JUAN
State	:	PR
Zip	:	00926-3481
Country	:	US
Telephone Number	:	787-647-1266
Fax Number	:

Provider Business Practice Location Address
First Line	:	1735 CARR 844
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-4446
Country	:	US
Telephone Number	:	787-647-1266
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2009
Last Update Date	:	05/30/2025

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