Provider Demographics
NPI:1962484774
Name:RODRIGUEZ, OLGA (MD)
Entity Type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
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 366
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-0366
Mailing Address - Country:US
Mailing Address - Phone:787-833-5450
Mailing Address - Fax:787-265-8844
Practice Address - Street 1:CALLE POST S
Practice Address - Street 2:EDIFICIO POST CENTER
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-1729
Practice Address - Country:US
Practice Address - Phone:787-833-5450
Practice Address - Fax:787-265-8844
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8182208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics