| Doctor Name: | DR. GLENDA MILAGROS RODRIGUEZ |
| NPI Number: | 1194768150 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 14919 |
| Business Practice Address: | Carrion Maduro Street #31 Juana Diaz, PR - 00795 |
| Business Phone Number: | 7878376412 |
| Business Fax Number: | |
| Mailing Address: | 81 Calle 4, JUANA DIAZ |
| State: | PR |
| Postal Code: | 007951513 |
| Phone Number: | 7872997981 |
| Fax Number: | 7878373198 |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 05/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 14919 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |