Provider Demographics
NPI:1740286806
Name:RODRIGUEZ, LUZ ZORYBELL (MD)
Entity type:Individual
Prefix:DR
First Name:LUZ
Middle Name:ZORYBELL
Last Name:RODRIGUEZ
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:PO BOX 386
Mailing Address - Street 2:
Mailing Address - City:NARANJITO
Mailing Address - State:PR
Mailing Address - Zip Code:00719-0386
Mailing Address - Country:US
Mailing Address - Phone:787-869-5061
Mailing Address - Fax:787-695-3037
Practice Address - Street 1:44 CALLE IGNACIO MORALES
Practice Address - Street 2:STE 1B
Practice Address - City:NARANJITO
Practice Address - State:PR
Practice Address - Zip Code:00719-3020
Practice Address - Country:US
Practice Address - Phone:787-869-5061
Practice Address - Fax:787-695-3037
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-23
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14981208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0021781Medicare ID - Type Unspecified
PRH-98272Medicare UPIN