Provider Demographics
NPI:1457417982
Name:RODRIGUEZ, DANIEL (RN, MSN)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 34024
Mailing Address - Street 2:FORT BUCHANAN
Mailing Address - City:FORT BUCHANAN
Mailing Address - State:PR
Mailing Address - Zip Code:00934-0024
Mailing Address - Country:US
Mailing Address - Phone:787-707-2576
Mailing Address - Fax:787-707-2045
Practice Address - Street 1:RODRIGUEZ ARMY HEALTH CLINIC
Practice Address - Street 2:FORT BUCHANAN
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00934
Practice Address - Country:US
Practice Address - Phone:787-707-2576
Practice Address - Fax:787-707-2045
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR26922163W00000X
PR1271163WA2000X, 163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WA2000XNursing Service ProvidersRegistered NurseAdministrator
Not Answered163WC1500XNursing Service ProvidersRegistered NurseCommunity Health