Individual
RAUL JOSE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
165 URB CAGUAS REAL, CAGUAS, PR 00725-9054
(787) 600-5709
Mailing address
165 URB CAGUAS REAL, CAGUAS, PR 00725-9054
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23031
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/28/2022
Last updated
09/29/2022
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