Individual
EDWIN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
LEGACY OFFICE PARK SUITE102, CARR 506, KM 0.75, COTO LAUREL, PR 00780
(787) 259-1654
Mailing address
PO BOX 10614, PONCE, PR 00732-0614
(787) 259-1654
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
DM150128
PR
Other
Enumeration date
02/20/2007
Last updated
04/08/2008
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