Provider Demographics
NPI:1972658110
Name:RODRIGUEZ, ORLANDO (MD)
Entity Type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:
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 1:40 STREET F-33
Mailing Address - Street 2:COLINAS DE MONTECARLO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924
Mailing Address - Country:US
Mailing Address - Phone:787-762-8959
Mailing Address - Fax:
Practice Address - Street 1:COLINAS DE MONTECARLO CA
Practice Address - Street 2:F33 CALLE 40
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-5808
Practice Address - Country:US
Practice Address - Phone:787-762-8959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4333146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRD-48303Medicare UPIN