Doctor Name: | FANNY L RODRIGUEZ UBINAS |
NPI Number: | 1851466031 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 16561 |
Business Practice Address: | K2 Calle 4 Villas De Rio Grande Rio Grande, PR - 007452823 |
Business Phone Number: | 7878090900 |
Business Fax Number: | 7878870020 |
Mailing Address: | 311 Teresa Jornet, Apt 1102 SAN JUAN |
State: | PR |
Postal Code: | 00926 |
Phone Number: | 7876853578 |
Fax Number: | |
NPI Enumeration Date: | 11/22/2006 |
NPI Last Update Date: | 09/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16561 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |