Provider Demographics
NPI:1841213485
Name:RODRIGUEZ-ARCE, ROBERTO (MD)
Entity Type:Individual
Prefix:
First Name:ROBERTO
Middle Name:
Last Name:RODRIGUEZ-ARCE
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:URB. BORINQUEN SILVIA REXACH
Mailing Address - Street 2:L # 2
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623
Mailing Address - Country:US
Mailing Address - Phone:787-612-4397
Mailing Address - Fax:
Practice Address - Street 1:44 CALLE CARBONELL
Practice Address - Street 2:SUITE 4
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623-3465
Practice Address - Country:US
Practice Address - Phone:787-851-7704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16138208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice