Organization
PUERTO RICO COLORECTAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JETSEN A RODRIGUEZ SILVA MD (PRESIDENTE)
(787) 500-1270
Entity
Organization
Contact information
Practice address
CARR 132 KM 22 1 BO CANAS, PLAZA GABRIELA, PONCE, PR 00728-2687
(787) 500-1270
Mailing address
PO BOX 39, MERCEDITA, PR 00715-0039
(787) 500-1270
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
10/30/2024
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