Individual
EDUARDO RODRIGUEZ SANTIAGO
Active
Individual
EDUARDO RODRIGUEZ SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
1562B
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
1562B
PR
363AM0700X
Medical Physician Assistant
Primary
079-PA
PR
Other
Enumeration date
05/10/2007
Last updated
12/03/2020
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