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Individual
PERLA MICHELLE MACIP RODRIGUEZ
Active
Individual
PERLA MICHELLE MACIP RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
254670
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
254670
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110102924A
—
MA
Enumeration date
03/29/2010
Last updated
04/02/2018
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