Individual
KENNETH HARTU RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 PASEO DEL VETERANO, PONCE, PR 00716-2001
(787) 812-3030
Mailing address
URB. VILLA DEL CARMEN, CLL SALERNO 1017, PONCE, PR 00716
(787) 319-7138
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
3183
PR
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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