Organization
GRUPO FISIATRICO-DENTAL DEL ESTE, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO A RODRIGUEZ MD (PRESIDENT)
(787) 887-1110
Entity
Organization
Contact information
Practice address
JARDINES DE RIO GRANDE, CALLE 54 BG-176, RIO GRANDE, PR 00745
(787) 887-1110
(787) 888-7008
Mailing address
SAN FRANCISCO, 225 CALLE VIOLETA, SAN JUAN, PR 00927-6223
(787) 887-1110
(787) 888-7008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1780
PR
208100000X
Physical Medicine & Rehabilitation Physician
Primary
10386
PR
Other
Enumeration date
07/26/2013
Last updated
06/02/2015
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