Provider Demographics
NPI:1477655835
Name:RODRIGUEZ-SEGARRA, HILDA YIRIS (MD)
Entity Type:Individual
Prefix:MRS
First Name:HILDA
Middle Name:YIRIS
Last Name:RODRIGUEZ-SEGARRA
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 1:35 CALLE RUFINA
Mailing Address - Street 2:
Mailing Address - City:GUAYANILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00656-1749
Mailing Address - Country:US
Mailing Address - Phone:787-835-2234
Mailing Address - Fax:787-873-2072
Practice Address - Street 1:74 CALLE ANGEL G MARTINEZ
Practice Address - Street 2:
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00637-1718
Practice Address - Country:US
Practice Address - Phone:787-873-2072
Practice Address - Fax:787-873-2072
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15008208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice