Provider Demographics
NPI:1205010733
Name:BARTOLOMEI RODRIGUEZ, LUZ ILEANA (MD)
Entity Type:Individual
Prefix:DR
First Name:LUZ
Middle Name:ILEANA
Last Name:BARTOLOMEI RODRIGUEZ
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:PO BOX 3123
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-3123
Mailing Address - Country:US
Mailing Address - Phone:787-831-5432
Mailing Address - Fax:
Practice Address - Street 1:31 CALLE SAN BENITO
Practice Address - Street 2:
Practice Address - City:LAS MARIAS
Practice Address - State:PR
Practice Address - Zip Code:00670-2103
Practice Address - Country:US
Practice Address - Phone:787-831-5432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-19
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16918208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice