Provider Demographics
NPI:1689418931
Name:RODRIGUEZ-BELEN, KARLA MARIE
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:MARIE
Last Name:RODRIGUEZ-BELEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 CALLE ROSAL
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-4501
Mailing Address - Country:US
Mailing Address - Phone:787-920-3252
Mailing Address - Fax:
Practice Address - Street 1:161 CALLE ROSAL
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-4501
Practice Address - Country:US
Practice Address - Phone:787-920-3252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8023103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool