Individual
DR. VILMARIE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CARR 167 KM 11 0, BO DAJAOS, BAYAMON, PR 00956
(787) 730-3446
(787) 730-3446
Mailing address
HC 74 BOX 5697, BARRIO GUADIANA, NARANJITO, PR 00719-7491
(787) 869-6494
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15192
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22662RO
TRIPLE SSS
PR
01
—
4210
PMC MEDICARE CHOICE
PR
01
—
500503E
MEDICARE MUCHO MAS
PR
01
—
9500838
LA CRUZ AZUL DE PUERTO RI
PR
Enumeration date
06/07/2007
Last updated
07/08/2007
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