Provider Demographics
NPI:1851452130
Name:RODRIGUEZ PORTELA, ANA MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:MARIA
Last Name:RODRIGUEZ PORTELA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:781 CALLE ARRAYADO
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-3513
Mailing Address - Country:US
Mailing Address - Phone:787-858-3550
Mailing Address - Fax:787-855-3339
Practice Address - Street 1:CARR. #2 KM 39.5
Practice Address - Street 2:HOSPITAL WILMA N. VAZQUEZ SUIT 101
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-3512
Practice Address - Country:US
Practice Address - Phone:787-858-3550
Practice Address - Fax:787-855-3339
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16634207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine