WANDALISSE RONDA


Address: 268 San Jorge St, Ofic 101, San Juan, PR 00914-6308
Phone: 7872491461

WANDALISSE RONDA (NPI# 1528356722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528356722
Entity Type Individual
Full Name WANDALISSE RONDA
Credential M.A.
Practice Address 268 San Jorge St
Ofic 101
San Juan
PR 00914-6308
Mailing Address 340 Ave Felisa Rincon Gautier
Apt. 2106 Paseo Del Bosque
San Juan
PR 00926-6636
Practice Telephone 7872491461
Mailing Telephone 7872491461
Enumeration Date 2011-07-21
Last Update Date 2011-07-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
1748 PR Behavioral Health & Social Service Providers

Office Location

Street Address 268 SAN JORGE ST
OFIC 101
City SAN JUAN
State PR
Zip Code 00914-6308

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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

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Competitor

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City SAN JUAN
Zip Code 00914

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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