Doctor Name: | ALAN RODRIGUEZ |
NPI Number: | 1235500653 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 32168-R |
Business Practice Address: | 2213 Ponce By Pass Hospital Damas Ponce, PR - 00717 |
Business Phone Number: | 7878408686 |
Business Fax Number: | |
Mailing Address: | 2213 Ponce By Pass, PONCE |
State: | PR |
Postal Code: | 00717 |
Phone Number: | 7878408686 |
Fax Number: | |
NPI Enumeration Date: | 10/12/2015 |
NPI Last Update Date: | 12/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 32168-R |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |