Individual
EDUARDO RODRIGUEZ SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
1562B
Contact information
Practice address
PARRA MEDICAL PLAZA AVE PONCE BY PASS, SUITE 904-905, PONCE, PR 00717
(787) 844-2710
(787) 844-2832
Mailing address
PO BOX 1292, CABO ROJO, PR 00623-1292
(787) 231-5758
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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