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Individual

HECTOR BRUNET RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD206140
LA
390200000X
Student in an Organized Health Care Education/Training Program
17860
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17860
STATE LICENSE
PR
Enumeration date
09/12/2008
Last updated
06/21/2021
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