| Doctor Name: | DR. ADALBERTO RODRIGUEZ RIVERA |
| NPI Number: | 1326007188 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OD |
| License Number: | 134 |
| Business Practice Address: | 1492 Ave Ponce De Leon Suite 108 San Juan, PR - 00907 |
| Business Phone Number: | 7877232253 |
| Business Fax Number: | 7877240163 |
| Mailing Address: | Po Box 13311, SAN JUAN |
| State: | PR |
| Postal Code: | 009083311 |
| Phone Number: | 7877675051 |
| Fax Number: | 7872826597 |
| NPI Enumeration Date: | 03/21/2006 |
| NPI Last Update Date: | 11/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | 134 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |