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Individual
DR. IVAN RAFAEL RODRIGUEZ COLON
Active
Individual
DR. IVAN RAFAEL RODRIGUEZ COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15093
PR
208D00000X
General Practice Physician
15093
PR
Other
Enumeration date
10/05/2005
Last updated
06/03/2011
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