Provider Demographics
NPI:1902785538
Name:MONICA G RODRIGUEZ GYNECOLOGY LLC
Entity type:Organization
Organization Name:MONICA G RODRIGUEZ GYNECOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:G
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-371-0543
Mailing Address - Street 1:URB VILLA DE TORRIMAR
Mailing Address - Street 2:405 CALLE REINA ISABEL
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-371-0543
Mailing Address - Fax:
Practice Address - Street 1:URB CARIBE 1565 CALLE ALDA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-2712
Practice Address - Country:US
Practice Address - Phone:787-371-0543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center