Provider Demographics
NPI:1902473267
Name:TRABAL RODRIGUEZ, KEYLA (PSYD)
Entity Type:Individual
Prefix:
First Name:KEYLA
Middle Name:
Last Name:TRABAL RODRIGUEZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 993
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-0993
Mailing Address - Country:US
Mailing Address - Phone:787-527-4336
Mailing Address - Fax:
Practice Address - Street 1:BO QUEMADO
Practice Address - Street 2:CARR 106 KM 4 INTERIOR
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-527-4336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist