Provider Demographics
NPI:1588041263
Name:RODRIGUEZ PEREZ, MANUEL ALEXIS (MD)
Entity Type:Individual
Prefix:
First Name:MANUEL
Middle Name:ALEXIS
Last Name:RODRIGUEZ PEREZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:191 CALLE CESAR GONZALEZ APT 1204
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-1430
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL SAN FRANCISCO
Practice Address - Street 2:TORRE MEDICA OFICINA 209 371 DE DIEGO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923
Practice Address - Country:US
Practice Address - Phone:787-767-5100
Practice Address - Fax:787-250-7829
Is Sole Proprietor?:No
Enumeration Date:2015-05-01
Last Update Date:2023-07-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR21810207X00000X
PR33319207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery