Provider Demographics
NPI:1013172246
Name:RODRIGUERA, GEORGE MUNOZ (PT)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:MUNOZ
Last Name:RODRIGUERA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 N DUPONT BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-1060
Mailing Address - Country:US
Mailing Address - Phone:302-422-2518
Mailing Address - Fax:
Practice Address - Street 1:907 N DUPONT BLVD STE 104
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1060
Practice Address - Country:US
Practice Address - Phone:302-422-2518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist