Provider Demographics
NPI:1295946390
Name:RODRIGUEZ, IRMA M (CNMT, LNMT)
Entity type:Individual
Prefix:MRS
First Name:IRMA
Middle Name:M
Last Name:RODRIGUEZ
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Gender:F
Credentials:CNMT, LNMT
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Mailing Address - Street 1:YY28 CALLE 53
Mailing Address - Street 2:URB JARDINES DEL CARIBE
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728-2652
Mailing Address - Country:US
Mailing Address - Phone:787-984-1616
Mailing Address - Fax:787-843-6918
Practice Address - Street 1:2225 PONCE BYP
Practice Address - Street 2:EDIF. PARRA SUITE 103
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1321
Practice Address - Country:US
Practice Address - Phone:787-984-1616
Practice Address - Fax:787-843-6918
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR1222471N0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471N0900XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistNuclear Medicine Technology