Individual
MIGUEL A RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
FONT MARTELO 355, HUMACAO, PR 00791
(787) 646-8768
Mailing address
BOX 859, HUMACAO, PR 00791
(787) 646-8754
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6883
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6883
MEDICAL LIC
PR
Enumeration date
02/15/2007
Last updated
07/08/2007
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