Provider Demographics
NPI:1134419161
Name:RODRIGUEZ RIVERA, ANGEL MIGUEL (MD,)
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:MIGUEL
Last Name:RODRIGUEZ RIVERA
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Gender:M
Credentials:MD,
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Mailing Address - Street 1:29 WASHINGTON STREET
Mailing Address - Street 2:ASHFORD MEDICAL CTR STE 601-602
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907
Mailing Address - Country:US
Mailing Address - Phone:787-249-9560
Mailing Address - Fax:509-275-5604
Practice Address - Street 1:29 WASHINGTON STREET
Practice Address - Street 2:STE 601-602 ASHFORD MEDICAL CTR
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1521
Practice Address - Country:US
Practice Address - Phone:787-249-9560
Practice Address - Fax:509-275-5604
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-11
Last Update Date:2024-06-28
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Provider Licenses
StateLicense IDTaxonomies
PR18873208600000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery