Provider Demographics
NPI:1295938371
Name:RODRIGUEZ-PEREZ, NOELIA (MD)
Entity type:Individual
Prefix:DR
First Name:NOELIA
Middle Name:
Last Name:RODRIGUEZ-PEREZ
Suffix:
Gender:F
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:CALLE ANIS #86
Mailing Address - Street 2:CIUDAD JARDIN CANOVANAS
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-1921
Mailing Address - Country:US
Mailing Address - Phone:787-801-4944
Mailing Address - Fax:
Practice Address - Street 1:AVE. CONQUISTADOR EDIFICIO CONQUISTADOR PLAZA
Practice Address - Street 2:SUITE#3
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-801-4944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17166207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR17166OtherMEDICAL LICENSE PUERTO RICO