Doctor Name: | DR. LUIS RODRIGUEZ |
NPI Number: | 1336126283 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 5681 |
Business Practice Address: | Ave Campo Rico A-6 Castellano Gardens Carolina, PR - 00983 |
Business Phone Number: | 7877527897 |
Business Fax Number: | 7877680689 |
Mailing Address: | Po Box 3762, CAROLINA |
State: | PR |
Postal Code: | 009843762 |
Phone Number: | 7877527897 |
Fax Number: | 7877680689 |
NPI Enumeration Date: | 12/30/2005 |
NPI Last Update Date: | 07/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5681 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |