Provider Demographics
NPI:1750660064
Name:RODRIGUEZ-MONSERRATE, CARLA PATRICIA (MD)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:PATRICIA
Last Name:RODRIGUEZ-MONSERRATE
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:URB. VILLA PRADES
Mailing Address - Street 2:710 JULIO C. ARTEAGA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924
Mailing Address - Country:US
Mailing Address - Phone:787-422-9849
Mailing Address - Fax:
Practice Address - Street 1:AVE. AMERICO MIRANDA, ESQ. CENTRO MEDICO
Practice Address - Street 2:CTRO. CARDIOVASCULAR DE PR Y EL CARIBE, PISO 1, STE. #3
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-754-8500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-04
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18646207R00000X, 207RC0000X, 207RA0002X
MA283835207RA0002X, 207RC0000X
MA273165207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0002XAllopathic & Osteopathic PhysiciansInternal MedicineAdult Congenital Heart DiseaseGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty