Provider Demographics
NPI:1568505600
Name:MORAN-RODRIGUEZ, HECTOR JAVIER
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:JAVIER
Last Name:MORAN-RODRIGUEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE 603 BLQ 224-31#
Mailing Address - Street 2:6TA EXT. VILLA CAROLINA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985
Mailing Address - Country:US
Mailing Address - Phone:787-246-2631
Mailing Address - Fax:
Practice Address - Street 1:607 CALLE MONTENEGRO
Practice Address - Street 2:EXT. EL COMANDANTE
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00982-3648
Practice Address - Country:US
Practice Address - Phone:787-246-2631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular Specialist