Rodriguez, Ezequiel Medina
Rodriguez, Ezequiel Medina is an sole proprietor health care provider with primary practice located at Cond Santa Rita # 1000 , San Juan PR 00925-2857. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is his primary health care specialty. Rodriguez, Ezequiel Medina can be contacted via phone (787) 633-3335.Contact Information
Primary practice address
Cond Santa Rita # 1000
San Juan PR 00925-2857
Phone: (787) 633-3335
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | ||
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | ||
Behavioral Health & Social Service Providers / Family | 103TF0000X | ||
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | ||
Behavioral Health & Social Service Providers / School | 103TS0200X | 3270 | Puerto Rico |
Profile Details
NPI number | 1538308036 |
---|---|
LBN Legal business name | Rodriguez, Ezequiel Medina |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 7th, 2009 |
Last updated | Feb 7th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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