Provider Demographics
NPI:1184691461
Name:RODRIGUEZ NAVARRO, RAYMOND (MD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:
Last Name:RODRIGUEZ NAVARRO
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 1:146 CALLE 1
Mailing Address - Street 2:SAN ANTONIO BO. HIGUILLAR
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-5851
Mailing Address - Country:US
Mailing Address - Phone:787-313-9717
Mailing Address - Fax:
Practice Address - Street 1:155 AVE DR P ALBIZU CAMPOS
Practice Address - Street 2:BO. MAMEYAL
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-2419
Practice Address - Country:US
Practice Address - Phone:787-796-7777
Practice Address - Fax:787-796-2492
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15916208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice