| Doctor Name: | DR. WILFREDO RODRIGUEZ |
| NPI Number: | 1205860731 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 14963 |
| Business Practice Address: | Urbanizacion Royal Gardens Carr. #167 Royal Gardens Shopping Center Bayamon, PR - 00957 |
| Business Phone Number: | 7877990007 |
| Business Fax Number: | 7877990007 |
| Mailing Address: | Bosque De Las Palmas 196, Coco Plumoroso BAYAMON |
| State: | PR |
| Postal Code: | 009569250 |
| Phone Number: | 1787551935 |
| Fax Number: | 7877990007 |
| NPI Enumeration Date: | 07/10/2006 |
| NPI Last Update Date: | 08/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 14963 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |