# TANAMA HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427776186
- **Authorized official:** DANTE ISAAC RODRIGUEZ GONZALEZ MD, MHSA (CEO & OWNER)
- **Authorized official phone:** (787) 816-5041

## Contact information

- **Practice address:** 102 CALLE FRANCISCO JAURREGUI, ARECIBO, PR 00612-4572
- **Practice address phone:** (787) 816-5041
- **Practice address fax:** (787) 881-5742
- **Mailing address:** 702 CALLE UN APT G1, SAN JUAN, PR 00907-4202
- **Mailing address phone:** (787) 506-0723
- **Mailing address fax:** (787) 881-5742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/18/2022
- **Last updated:** 08/12/2023