Provider Demographics
NPI:1568517829
Name:RODRIGUEZ RODRIGUEZ, OLGA D (MD)
Entity Type:Individual
Prefix:DR
First Name:OLGA
Middle Name:D
Last Name:RODRIGUEZ RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:304 CALLE SOFIA
Mailing Address - Street 2:MANSION REAL
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-2630
Mailing Address - Country:US
Mailing Address - Phone:787-848-8816
Mailing Address - Fax:787-841-7165
Practice Address - Street 1:388 ZONA IND REPARADA 2
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-2347
Practice Address - Country:US
Practice Address - Phone:787-840-2575
Practice Address - Fax:787-840-9756
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2021-12-06
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Provider Licenses
StateLicense IDTaxonomies
PR8327208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR8327OtherLICENSE