Individual
DR. MARITZA VEGA-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HOSPITAL INDUSTRIAL-CENTRO MEDICO, BO. MONACILLOS, SAN JUAN, PR 00936
(787) 754-2525
(787) 767-3968
Mailing address
PO BOX 70344, PMB 358, SAN JUAN, PR 00936-8344
(787) 761-4948
(787) 767-3968
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
25
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04435DM-4
NARCOTICS STATE LICENSE
PR
01
—
5475
STATE LICENSE
PR
01
—
AV 8934956
FEDERAL NARCOTICS LICENSE
—
Enumeration date
04/02/2007
Last updated
07/08/2007
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