Individual
JUAN CARLOS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
240 E 18TH ST, NEW YORK, NY 10003-3605
(212) 744-8114
Mailing address
240 E 18TH ST, NEW YORK, NY 10003-3605
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
241813
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02814042
—
NY
Enumeration date
09/28/2006
Last updated
03/26/2021
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