Provider Demographics
NPI:1508428244
Name:RODRIGUEZ QUILES, HECMARIE (RN, BSN)
Entity Type:Individual
Prefix:
First Name:HECMARIE
Middle Name:
Last Name:RODRIGUEZ QUILES
Suffix:
Gender:F
Credentials:RN, BSN
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 1039
Mailing Address - Street 2:
Mailing Address - City:OROCOVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00720-1039
Mailing Address - Country:US
Mailing Address - Phone:787-452-3658
Mailing Address - Fax:
Practice Address - Street 1:A21 VILLA SERAL
Practice Address - Street 2:
Practice Address - City:LARES
Practice Address - State:PR
Practice Address - Zip Code:00669-3002
Practice Address - Country:US
Practice Address - Phone:939-244-8713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-02
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR86133163WC0400X, 163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health