Provider Demographics
NPI:1942241427
Name:RODRIGUEZ, JOSE R (MD)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:R
Last Name:RODRIGUEZ
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:EDIFICIO BETANCOURT 305
Mailing Address - Street 2:ESQUINA PAVIA FERNANDEZ JUNCOS AVE
Mailing Address - City:SANTURCE
Mailing Address - State:PR
Mailing Address - Zip Code:00910-0000
Mailing Address - Country:US
Mailing Address - Phone:787-268-1100
Mailing Address - Fax:
Practice Address - Street 1:EDIFICIO BETANCOURT 305
Practice Address - Street 2:ESQUINA PAVIA FERNANDEZ JUNCOS AVE
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00909-0000
Practice Address - Country:US
Practice Address - Phone:787-268-1100
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist