| Doctor Name: | DR. BRENDA I MORA RODRIGUEZ |
| NPI Number: | 1316148067 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 14891 |
| Business Practice Address: | 101 Sur Calle Corchado Esquina Nunez Romeu Cayey, PR - 00736 |
| Business Phone Number: | 7877387455 |
| Business Fax Number: | 7875357505 |
| Mailing Address: | Po Box 4960, Pmb 413 CAGUAS |
| State: | PR |
| Postal Code: | 00726 |
| Phone Number: | 7877387455 |
| Fax Number: | 7875357505 |
| NPI Enumeration Date: | 05/30/2007 |
| NPI Last Update Date: | 08/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 14891 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |