Provider Demographics
NPI:1659052124
Name:RODRIGUEZ, ADNAN JOR-EL (RN)
Entity Type:Individual
Prefix:MR
First Name:ADNAN
Middle Name:JOR-EL
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 74 BOX 5849
Mailing Address - Street 2:
Mailing Address - City:NARANJITO
Mailing Address - State:PR
Mailing Address - Zip Code:00719-7445
Mailing Address - Country:US
Mailing Address - Phone:787-246-5536
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 167 KM 7.5 INTERIOR
Practice Address - Street 2:BARRIO NUEVO, COMUNIDAD HEVIA #80
Practice Address - City:NARANJITO
Practice Address - State:PR
Practice Address - Zip Code:00719
Practice Address - Country:US
Practice Address - Phone:787-246-5536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-145597-041163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine