Provider Demographics
NPI:1043338635
Name:RODRIGUEZ ESTRELLA, DULCE J (MD)
Entity Type:Individual
Prefix:
First Name:DULCE
Middle Name:J
Last Name:RODRIGUEZ ESTRELLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MANSIONES DEL SUR CALLE CEIBA A-12
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780
Mailing Address - Country:US
Mailing Address - Phone:787-848-4168
Mailing Address - Fax:
Practice Address - Street 1:607 CALLE FERROCARRIL
Practice Address - Street 2:ESQ. TORRES
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717
Practice Address - Country:US
Practice Address - Phone:787-848-3175
Practice Address - Fax:787-840-8874
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8902207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E43984Medicare UPIN