Provider Demographics
NPI:1477655710
Name:RODRIGUEZ DELGADO, RICARDO LUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:LUIS
Last Name:RODRIGUEZ DELGADO
Suffix:
Gender:M
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 2013
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-2013
Mailing Address - Country:US
Mailing Address - Phone:787-998-8040
Mailing Address - Fax:787-998-8041
Practice Address - Street 1:AVENIDA EL COMANDANTE HM-1
Practice Address - Street 2:TERCERA EXTENSION DE COUNTRY CLUB
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00982
Practice Address - Country:US
Practice Address - Phone:787-998-8040
Practice Address - Fax:787-998-8041
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16594208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice