Provider Demographics
NPI:1255475315
Name:HERNANDEZ RODRIGUEZ, FELIX F (MD)
Entity Type:Individual
Prefix:DR
First Name:FELIX
Middle Name:F
Last Name:HERNANDEZ RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 10595
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732
Mailing Address - Country:US
Mailing Address - Phone:787-651-5744
Mailing Address - Fax:787-843-3475
Practice Address - Street 1:2435 AVENIDA LAS AMERICAS
Practice Address - Street 2:HOSP. METROPOLITANO DR. PILA PRIMER PISO OFIC 91
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2112
Practice Address - Country:US
Practice Address - Phone:787-651-5744
Practice Address - Fax:787-843-3475
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR08319207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F98678Medicare UPIN