Provider Demographics
NPI:1013085554
Name:RODRIGUEZ CASTRO, JOSE M (MD)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:M
Last Name:RODRIGUEZ CASTRO
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:PO BOX 671
Mailing Address - Street 2:
Mailing Address - City:CIALES
Mailing Address - State:PR
Mailing Address - Zip Code:00638-0671
Mailing Address - Country:US
Mailing Address - Phone:787-598-6533
Mailing Address - Fax:
Practice Address - Street 1:EDIF METROMEDICAL
Practice Address - Street 2:A- 608
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-5053
Practice Address - Country:US
Practice Address - Phone:787-395-7125
Practice Address - Fax:787-395-7126
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2009-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14683207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease