Individual provider · NPI-1

Hector Ruben Alicea Rodriguez, Psy.M.A.

Psychologist, Clinical Child & Adolescent · Guaynabo, PR

NPI number1528575008
StatusActive
Last updated in NPPESJan 5, 2018

Details

NPI
1528575008
Entity type
Individual (NPI-1)
Name
Hector Ruben Alicea Rodriguez
Credential
Psy.M.A.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 5, 2018
Last updated
Jan 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC2200X Psychologist, Clinical Child & Adolescent299PRYes

Practice location

B2 Calle Bolivia
Guaynabo, PR 00969-3464

Phone 787-462-5032

Mailing address

B2 Calle Bolivia
Guaynabo, PR 00969-3464

Phone 787-462-5032

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