Provider Demographics
NPI:1336931062
Name:RODRIGUEZ OCASIO, ELISAMARIE
Entity type:Individual
Prefix:
First Name:ELISAMARIE
Middle Name:
Last Name:RODRIGUEZ OCASIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 2 BOX 6720
Mailing Address - Street 2:
Mailing Address - City:FLORIDA
Mailing Address - State:PR
Mailing Address - Zip Code:00650-9107
Mailing Address - Country:US
Mailing Address - Phone:939-401-4393
Mailing Address - Fax:
Practice Address - Street 1:36 CALLE DR RUFO
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3717
Practice Address - Country:US
Practice Address - Phone:787-913-0884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant