Provider Demographics
NPI:1043229172
Name:RODRIGUEZ, JANET IVONNE (DO)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:IVONNE
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13A CALLE 25 DE JULIO
Mailing Address - Street 2:PRECISION OPTICS
Mailing Address - City:GUANICA
Mailing Address - State:PR
Mailing Address - Zip Code:00653-2103
Mailing Address - Country:US
Mailing Address - Phone:787-821-1347
Mailing Address - Fax:787-821-1347
Practice Address - Street 1:CALLE 25 DE JULIO # 13A
Practice Address - Street 2:
Practice Address - City:GUANICA
Practice Address - State:PR
Practice Address - Zip Code:00653
Practice Address - Country:US
Practice Address - Phone:787-821-1347
Practice Address - Fax:787-821-1347
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR320152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist