| Doctor Name: | DR. JOSE ENRIQUE RODRIGUEZ-ROSA |
| NPI Number: | 1528009099 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 10108 |
| Business Practice Address: | 120 Calle Pavia Fernandez San Sebastian, PR - 006852285 |
| Business Phone Number: | 7879260668 |
| Business Fax Number: | 7879260668 |
| Mailing Address: | Hc 56 Box 4960, AGUADA |
| State: | PR |
| Postal Code: | 006028668 |
| Phone Number: | 7874620691 |
| Fax Number: | 7879260668 |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 12/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 10108 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |