Ivonne M Rodriguez-santiago, PHD is a
Psychologist - Clinical based in Lady Lake, Florida. Ivonne M Rodriguez-santiago is licensed to practice in Florida (license number PY10770) and her current practice location is
510 Highway 466 Ste 203p, Lady Lake, Florida. She can be reached at her office (for appointments etc.) via phone at
(352) 614-0017.
NPI number for Ivonne M Rodriguez-santiago is 1396131314 and her current mailing address is 510 Highway 466 Ste 203p, Lady Lake, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396131314.
Healthcare Provider's Profile
| Full Name | Ivonne M Rodriguez-santiago |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 510 Highway 466 Ste 203p, Lady Lake, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1396131314
- Provider Enumeration Date: 04/07/2015
- Last Update Date: 04/27/2021
Medical Identifiers
Medical identifiers for Ivonne M Rodriguez-santiago such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396131314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 10875 (Massachusetts) | Secondary |
| 103TC0700X | Psychologist - Clinical | 11123 (Massachusetts) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY10770 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivonne M Rodriguez-santiago is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ivonne M Rodriguez-santiago, PHD
510 Highway 466 Ste 203p,
Lady Lake, FL 32159-6341
Ph: (352) 614-0017 | Ivonne M Rodriguez-santiago, PHD
510 Highway 466 Ste 203p,
Lady Lake, FL 32159-6341
Ph: (352) 614-0017 |
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