| Doctor Name: | DR. WALTER RODRIGUEZ |
| NPI Number: | 1285720367 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 16417 |
| Business Practice Address: | #170 Ave 111 Km 30.9 San Sebastian, PR - 00685 |
| Business Phone Number: | 9397170035 |
| Business Fax Number: | 7872809179 |
| Mailing Address: | Po Box 2911, SAN SEBASTIAN |
| State: | PR |
| Postal Code: | 006856911 |
| Phone Number: | 9397170035 |
| Fax Number: | 7872809179 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 03/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16417 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |