Provider Demographics
NPI:1164625539
Name:RODRIGUEZ-GALARZA, LOURDES T (MD)
Entity Type:Individual
Prefix:DR
First Name:LOURDES
Middle Name:T
Last Name:RODRIGUEZ-GALARZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:90 BLVD MEDIA LUNA APT 308
Mailing Address - Street 2:PAISAJES DEL ESCORIAL
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-4882
Mailing Address - Country:US
Mailing Address - Phone:787-647-8991
Mailing Address - Fax:787-276-2142
Practice Address - Street 1:90 BLVD MEDIA LUNA APT 308
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-4882
Practice Address - Country:US
Practice Address - Phone:787-647-8991
Practice Address - Fax:787-276-2142
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2015-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR14895208D00000X, 261QP2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health