Individual
DR. WILBERTO SANTIAGO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
153 AVE JOSE DE DIEGO E, CAYEY, PR 00736-3847
(787) 738-4539
(787) 738-4539
Mailing address
153 AVE JOSE DE DIEGO E # POST, CAYEY, PR 00736-3847
(787) 738-4539
(787) 738-4539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9350
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9350
MEDICAL LICENSE
PR
Enumeration date
01/09/2007
Last updated
10/04/2012
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