Individual
DR. JAIME RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
550 CARR 128, STE 106, YAUCO, PR 00698-4434
(787) 267-7829
(787) 267-7829
Mailing address
PO BOX 283, MERCEDITA, PR 00715-0283
(787) 267-7829
(787) 267-7829
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
524
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55421RO
TRIPLE S
PR
01
—
7127
FIRST MEDICAL CARD
PR
01
—
890158
MMM
PR
Enumeration date
06/23/2005
Last updated
03/15/2016
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