Provider Demographics
NPI:1710161104
Name:RODRIGUEZ, FRANCISCO JOSE (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:JOSE
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BO. CARRIZALES BZ. A-603
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602
Mailing Address - Country:US
Mailing Address - Phone:787-891-7080
Mailing Address - Fax:787-891-7080
Practice Address - Street 1:88 CALLE DON CHEMARY
Practice Address - Street 2:
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-4122
Practice Address - Country:US
Practice Address - Phone:787-877-1084
Practice Address - Fax:787-877-1084
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-21
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16963208D00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR002-7864OtherPTAN