Individual
MR. JESUS MANUEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
012613
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012613
LICENSED REGISTERED NURSE
PR
Enumeration date
03/21/2006
Last updated
07/13/2026
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