Rodriguez-Santiago, Ivonne M.
Rodriguez-Santiago, Ivonne M. is an individual health care provider with primary practice located at 510 Highway 466 Ste 203P , Lady Lake FL 32159-6341. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Rodriguez-Santiago, Ivonne M. can be contacted via phone (352) 614-0017.Contact Information
Primary practice address
510 Highway 466 Ste 203P
Lady Lake FL 32159-6341
Phone: (352) 614-0017
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 10875 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 11123 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY10770 | Florida |
Profile Details
| NPI number | 1396131314 |
|---|---|
| LBN Legal business name | Rodriguez-Santiago, Ivonne M. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2015 |
| Last updated | Apr 27th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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