Provider Demographics
NPI:1083612154
Name:RODRIGUEZ, HECTOR L SR (MD PSYCHIATRIST)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:L
Last Name:RODRIGUEZ
Suffix:SR
Gender:M
Credentials:MD PSYCHIATRIST
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Mailing Address - Street 1:8169 CALLE CONCORDIA
Mailing Address - Street 2:STE 403
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-1554
Mailing Address - Country:US
Mailing Address - Phone:787-842-8152
Mailing Address - Fax:787-842-8152
Practice Address - Street 1:8169 CALLE CONCORDIA
Practice Address - Street 2:STE 403
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1554
Practice Address - Country:US
Practice Address - Phone:787-842-8152
Practice Address - Fax:787-842-8152
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-12
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR54712084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry