Doctor Name: | BETTY RODRIGUEZ |
NPI Number: | 1326055187 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 8606 |
Business Practice Address: | #159st.,km.0.9,desvio-corozal Bo. Abras Corozal, PR - 00783 |
Business Phone Number: | 7878592560 |
Business Fax Number: | 7878595370 |
Mailing Address: | Po Box 616, COROZAL |
State: | PR |
Postal Code: | 007830616 |
Phone Number: | 7878592560 |
Fax Number: | 7878595370 |
NPI Enumeration Date: | 08/02/2006 |
NPI Last Update Date: | 12/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 8606 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |