Doctor Name: | DR. JOAN MANUEL RODRIGUEZ |
NPI Number: | 1801066865 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 17056 |
Business Practice Address: | Tamaima Street #360 Hacienda Fkorida Yauco, PR - 00698 |
Business Phone Number: | 7876401822 |
Business Fax Number: | |
Mailing Address: | Tamaima Street #360 Hacienda Fkorida, YAUCO |
State: | PR |
Postal Code: | 00698 |
Phone Number: | 7876401822 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2008 |
NPI Last Update Date: | 03/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |