Provider Demographics
NPI:1851367122
Name:RODRIGUEZ-LLAUGER, REYNALDO (MD)
Entity Type:Individual
Prefix:DR
First Name:REYNALDO
Middle Name:
Last Name:RODRIGUEZ-LLAUGER
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:PO BOX 193127
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-3127
Mailing Address - Country:US
Mailing Address - Phone:787-754-7388
Mailing Address - Fax:787-998-2023
Practice Address - Street 1:262 CALLE ING ISMAEL A COLON
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-2802
Practice Address - Country:US
Practice Address - Phone:787-754-7388
Practice Address - Fax:787-998-2023
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR141072084N0400X, 2084P0800X, 2084B0040X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0021357Medicare ID - Type UnspecifiedPROVIDER NUMBER
PRH80176Medicare UPIN