Doctor Name: | DR. RICARDO LUIS RODRIGUEZ |
NPI Number: | 1477655710 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 16594 |
Business Practice Address: | Go35 Ave Campo Rico Country Club Carolina, PR - 009822678 |
Business Phone Number: | 7879988040 |
Business Fax Number: | 7879988041 |
Mailing Address: | Po Box 2013, CAROLINA |
State: | PR |
Postal Code: | 009842013 |
Phone Number: | 7879988040 |
Fax Number: | 7879988041 |
NPI Enumeration Date: | 09/05/2006 |
NPI Last Update Date: | 09/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16594 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |