Provider Demographics
NPI:1922294743
Name:RODRIGUEZ-FERNANDEZ, DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:RODRIGUEZ-FERNANDEZ
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 1:1025 CALLE 7
Mailing Address - Street 2:CAPETILLO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00925-3138
Mailing Address - Country:US
Mailing Address - Phone:787-455-3374
Mailing Address - Fax:
Practice Address - Street 1:1025 CALLE 7
Practice Address - Street 2:CAPETILLO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925-3138
Practice Address - Country:US
Practice Address - Phone:787-753-7591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-16
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18501207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine