Doctor Name: | DR. EDUARDO RODRIGUEZ |
NPI Number: | 1457395683 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 5222 |
Business Practice Address: | 3 Jose Mendez Cardona Ave. San Sebastian, PR - 006850486 |
Business Phone Number: | 7878961850 |
Business Fax Number: | 7872801698 |
Mailing Address: | Po Box 486, SAN SEBASTIAN |
State: | PR |
Postal Code: | 006850486 |
Phone Number: | 7878961850 |
Fax Number: | 7872801698 |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 08/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |