| Doctor Name: | MR. RAHUEL ISAI RODRIGUEZ |
| NPI Number: | 1033396924 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LIC.OPTICIAN |
| License Number: | 656 |
| Business Practice Address: | Urb.valle Arriba Height Ba-20 Local # 3 Carolina, PR - 00984 |
| Business Phone Number: | 7877625669 |
| Business Fax Number: | 7877625669 |
| Mailing Address: | Cond.el Milenio # 300 220st, Aptdo 1006 CAROLINA |
| State: | PR |
| Postal Code: | 00982 |
| Phone Number: | 7877625669 |
| Fax Number: | 7877625669 |
| NPI Enumeration Date: | 01/23/2008 |
| NPI Last Update Date: | 01/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 656 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |