Provider Demographics
NPI:1902284839
Name:RODRIGUEZ-CINTRON, CAROL (MSW)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:RODRIGUEZ-CINTRON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 3848
Mailing Address - Street 2:
Mailing Address - City:COROZAL
Mailing Address - State:PR
Mailing Address - Zip Code:00783-9457
Mailing Address - Country:US
Mailing Address - Phone:787-486-7419
Mailing Address - Fax:
Practice Address - Street 1:2100 CALLE TURQUESA SUITE 105
Practice Address - Street 2:BUCARE
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-404-5933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-12
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR36241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical