Provider Demographics
NPI:1508916057
Name:RODRIGUEZ, ANA R (MD)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:R
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:CENTRO IMAGENES RIO HONDO
Mailing Address - Street 2:PMB SUITE 187 #90 AVE RIO HONDO
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-3105
Mailing Address - Country:US
Mailing Address - Phone:787-261-2140
Mailing Address - Fax:787-261-3422
Practice Address - Street 1:LOCAL 3R SUITE 201
Practice Address - Street 2:CENTRO COMERCIAL RIO HONDO
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-3105
Practice Address - Country:US
Practice Address - Phone:787-261-2140
Practice Address - Fax:787-261-3422
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR70892085R0202X, 2085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Not Answered2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRD26760Medicare UPIN
PR99628Medicare ID - Type Unspecified