| Provider / Organization | NPI | Date Certified |
|---|---|---|
| VICTOR ENRIQUE EMMANUELLI RODRIGUEZ | 1669108700 | 2022-07-30 |
Victor Enrique Emmanuelli Rodriguez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1669108700. Registration indicates Victor Enrique Emmanuelli Rodriguez is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Counseling, ) (Psychologist Counseling, Behavioral Health & Social Service Providers) (Psychologist, )
| Entity Type | Individual |
| Provider Name | Victor Enrique Emmanuelli Rodriguez Ii MS |
| Practice Office Address | 166 AVE BARBOSA CATANO, PR US |
| Practice Office Telephone | 7877884544 |
| Practice Office Fax | 7877884544 |
| Mailing Address | PO BOX 1042 CATANO, PR 009631042 US |
| Business Telephone | 7877884544 |
| Business Fax | 7877884544 |
| Code | Practice | License No State |
|---|---|---|
| 103TC1900X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist: Counseling Psychologist Counseling Behavioral Health & Social Service Providers Psychologist | 6206
PR |
| 6206 | OTHER | PR | PSYCHOLOGY LICE |