Provider Demographics
NPI:1073154860
Name:RODRIGUEZ CARRER MD
Entity Type:Organization
Organization Name:RODRIGUEZ CARRER MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:DR
Authorized Official - First Name:GLAMADYS
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRER RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-923-2880
Mailing Address - Street 1:BOSQUE DE LAS PALMAS
Mailing Address - Street 2:196 CALLE COCO PLUMOROSO
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-923-2880
Mailing Address - Fax:
Practice Address - Street 1:URB ROYAL GARDENS
Practice Address - Street 2:CALLE ESTHER LOTE E-4
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957
Practice Address - Country:US
Practice Address - Phone:787-923-2880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-02
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty