Bryan Alexander Rodriguez Sr.

Individual provider Active NPI Occupational Therapist · Bayamon, PR

NPI 1184469876 · NPPES record last updated Jun 26, 2024

Key facts

NPI
1184469876
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
1323 (PR)
Practice address
Urb Santa Monica Calle 2
C 21
Bayamon, PR 00961
Phone
(787) 766-4646
NPI assigned
Jun 26, 2024
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

State licenses

LicenseStateTypeSpecialty
1323PRMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1323 PR Yes

Addresses

Primary practice location

Urb Santa Monica Calle 2
C 21
Bayamon, PR 00961

Mailing address

PO Box 607087
Bayamon, PR 00960-7087
Phone (787) 766-4646

Other providers in Bayamon, PR

All providers in Bayamon, PR · Occupational Therapist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.