Provider Demographics
NPI:1922711720
Name:RODRIGUEZ, FRANCISCO XAVIER JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:XAVIER
Last Name:RODRIGUEZ
Suffix:JR
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 143256
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-3256
Mailing Address - Country:US
Mailing Address - Phone:787-316-1966
Mailing Address - Fax:
Practice Address - Street 1:AVE. HOSTOS #410 CARRETERA #2 BO SABALOS
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-1526
Practice Address - Country:US
Practice Address - Phone:787-316-1966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-27
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23648208D00000X
PR16470-I390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty