Provider Demographics
NPI:1740450527
Name:RODRIGUEZ-GONZALEZ, JOAN (BA)
Entity type:Individual
Prefix:MR
First Name:JOAN
Middle Name:
Last Name:RODRIGUEZ-GONZALEZ
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PROGRAMA MAS SALUD
Mailing Address - Street 2:CALLE CERRA # 900 FINAL
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907
Mailing Address - Country:US
Mailing Address - Phone:787-721-3220
Mailing Address - Fax:
Practice Address - Street 1:PROGRAMA MAS SALUD
Practice Address - Street 2:CALLE CERRA # 900
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-721-3220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health Information