| Doctor Name: | DR. JOSE JAVIER RODRIGUEZ FONTANEZ |
| NPI Number: | 1104812122 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | 6590 |
| Business Practice Address: | Ave Pedro Albizu Campos Guayama, PR - 00785 |
| Business Phone Number: | 7878645953 |
| Business Fax Number: | 7878645953 |
| Mailing Address: | Ave. Pedro Albizu Campos, Box 2866 GUAYAMA |
| State: | PR |
| Postal Code: | 007852866 |
| Phone Number: | 7878645953 |
| Fax Number: | 7878645953 |
| NPI Enumeration Date: | 09/26/2005 |
| NPI Last Update Date: | 07/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207PE0004X |
| License Number: | 6590 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Emergency Medicine |
| Taxonomy Specialization: | Emergency Medical Services |
| Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |