Provider Demographics
NPI:1427937937
Name:RODRIGUEZ ROSARIO, RODRIGO G
Entity type:Individual
Prefix:
First Name:RODRIGO
Middle Name:G
Last Name:RODRIGUEZ ROSARIO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 CALLE ACUARIO
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-1723
Mailing Address - Country:US
Mailing Address - Phone:787-228-5623
Mailing Address - Fax:
Practice Address - Street 1:84 CALLE ACUARIO
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979-1723
Practice Address - Country:US
Practice Address - Phone:787-228-5623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool