Provider Demographics
NPI:1952032583
Name:JEPHTE RODRIGUEZ MARTINEZ MD P.S.D.
Entity Type:Organization
Organization Name:JEPHTE RODRIGUEZ MARTINEZ MD P.S.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEPHTE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-608-6994
Mailing Address - Street 1:EDIF. CPR SUITE 106 CALLE JOSE DE DIEGO 55 ESTE
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680
Mailing Address - Country:US
Mailing Address - Phone:787-832-6599
Mailing Address - Fax:787-357-7869
Practice Address - Street 1:EDIF. CPR SUITE 106 CALLE JOSE DE DIEGO 55 ESTE
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-832-6599
Practice Address - Fax:787-357-7869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty