Individual
LOURDES ISABEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
URB LOS ROSALES, CALLE 2 # E35, HUMACAO, PR 00791
(787) 479-3410
Mailing address
URB LOS ROSALES, CALLE 2 # E35, HUMACAO, PR 00791
(787) 479-3410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
874-PA
PR
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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