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Individual
IVAN S RODRIGUEZ
Active
Individual
IVAN S RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5659
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24682
TRIPLE S INC
PR
Enumeration date
06/23/2006
Last updated
05/14/2020
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