Luis Adolfo Rodriguez Ortiz, TAC-III, TFC-III
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Santa Isabel, PR
NPI 1104445303 · NPPES record last updated Apr 9, 2020
Key facts
- NPI
- 1104445303
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- TAC-III-05-20-1226 (PR)
- Practice address
- D57 Urb San Miguel
Santa Isabel, PR 00757-2527 - Phone
- (787) 558-0017
- NPI assigned
- Apr 9, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | TAC-III-05-20-1226 | PR | Yes |
Addresses
Primary practice location
D57 Urb San Miguel
Santa Isabel, PR 00757-2527
Mailing address
PO Box 66
Santa Isabel, PR 00757-0066
Phone (787) 558-0017
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | McAfee |
Other providers in Santa Isabel, PR
- Yomayra Rivera
- Zolmari Rivera
- Zulma I Rivera
- Isabel Cristina Rodriguez Barrera
- Marisel Rodriguez de Jesus
- Kermys Rodriguez Roche
- Anaida M Rodriguez
- Evelyn Rodriguez
- Sheila M Rodriguez
- Maria Rosario Rolon
All providers in Santa Isabel, PR · Addiction (Substance Use Disorder) Counselor in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.