| Doctor Name: | DR. JUAN J CIRINO RODRIGUEZ |
| NPI Number: | 1154523868 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 15259 |
| Business Practice Address: | Street 5 C34 Flamboyan Gardens Bayamon, PR - 00959 |
| Business Phone Number: | 7872033207 |
| Business Fax Number: | 7877652423 |
| Mailing Address: | Street 5 C34, Flamboyan Gardens BAYAMON |
| State: | PR |
| Postal Code: | 00959 |
| Phone Number: | 7872033207 |
| Fax Number: | 7877652423 |
| NPI Enumeration Date: | 06/04/2007 |
| NPI Last Update Date: | 09/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15259 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |