Provider Demographics
NPI:1659582690
Name:RODRIGUEZ CARRASQUILLO, FRANCIS J (RPT)
Entity Type:Individual
Prefix:MISS
First Name:FRANCIS
Middle Name:J
Last Name:RODRIGUEZ CARRASQUILLO
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 Z-12 CASTELLANA GARDENS
Mailing Address - Street 2:P.O. BOX 4342
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-4342
Mailing Address - Country:US
Mailing Address - Phone:787-768-3042
Mailing Address - Fax:787-752-6050
Practice Address - Street 1:23 STREET Z-12 ALTURAS DE CASTELLANA GARDENS
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983
Practice Address - Country:US
Practice Address - Phone:787-768-3042
Practice Address - Fax:787-752-6050
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1209225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0068184Medicare ID - Type UnspecifiedPHYSICAL THERAPIST (RPT)