Provider Demographics
NPI:1952330870
Name:GALVA-RODRIGUEZ, ANA L
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:L
Last Name:GALVA-RODRIGUEZ
Suffix:
Gender:F
Credentials:
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 1712
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-1712
Mailing Address - Country:US
Mailing Address - Phone:787-734-1323
Mailing Address - Fax:787-734-1266
Practice Address - Street 1:35 CALLE MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777-3114
Practice Address - Country:US
Practice Address - Phone:787-734-1323
Practice Address - Fax:787-734-1266
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9020207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRE11482Medicare UPIN