Provider Demographics
NPI:1083623631
Name:RODRIGUEZ, JUAN MIGUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:MIGUEL
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 8055
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-8055
Mailing Address - Country:US
Mailing Address - Phone:787-785-7144
Mailing Address - Fax:787-798-1668
Practice Address - Street 1:EDIF MEDICO HNAS DAVILA OFIC 106
Practice Address - Street 2:CALLE B ESQ J16 VILLA RICA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-785-7144
Practice Address - Fax:787-798-1668
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2024-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR12878207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology