Provider Demographics
NPI:1679883573
Name:RODRIGUEZ BATISTA, HECTOR M (SR)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:M
Last Name:RODRIGUEZ BATISTA
Suffix:
Gender:M
Credentials:SR
Other - Prefix:
Other - First Name:HECTOR
Other - Middle Name:
Other - Last Name:TRANSPORT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:HC 02 BOX 8042
Mailing Address - Street 2:
Mailing Address - City:QUEBRADILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00678-8042
Mailing Address - Country:US
Mailing Address - Phone:787-436-2199
Mailing Address - Fax:787-252-1385
Practice Address - Street 1:HC 02 BOX 8042
Practice Address - Street 2:BOX 8042
Practice Address - City:QUEBRADILLAS
Practice Address - State:PR
Practice Address - Zip Code:00678-8042
Practice Address - Country:US
Practice Address - Phone:787-436-2199
Practice Address - Fax:787-252-1385
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-14
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRPCVTE4544343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)