Provider Demographics
NPI:1831271279
Name:RODRIGUEZ, ISABEL M (MD)
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:M
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 365067
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-5067
Mailing Address - Country:US
Mailing Address - Phone:787-766-0940
Mailing Address - Fax:787-766-0940
Practice Address - Street 1:AVE DE DIEGI #201
Practice Address - Street 2:PLAZA SAN FRANCISCO SUITE 107
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-5825
Practice Address - Country:US
Practice Address - Phone:787-751-2189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR107402084P0804X, 2084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Not Answered2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine