Individual
HECTOR IVAN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
209 CALLE JULIO CINTRON, AIBONITO, PR 00705-3310
(787) 735-7818
(787) 735-1165
Mailing address
PO BOX 1437, AIBONITO, PR 00705-1437
(787) 735-7818
(787) 735-1165
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
7468
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7468
DOCTOR IN MEDICINE LICENSE
PR
Enumeration date
09/02/2005
Last updated
04/01/2014
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