Doctor Name: | MRS. MARILYN RODRIGUEZ ORTIZ |
NPI Number: | 1144491010 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 17013 |
Business Practice Address: | Carr. 152 Km 16.9 #4 Bo. Cedro Abajo Naranjito, PR - 007197401 |
Business Phone Number: | 7878698445 |
Business Fax Number: | |
Mailing Address: | Hc 74 Box 6189, NARANJITO |
State: | PR |
Postal Code: | 007199630 |
Phone Number: | 7873748819 |
Fax Number: | |
NPI Enumeration Date: | 03/18/2008 |
NPI Last Update Date: | 04/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17013 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |