Organization
TANAMA HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANTE ISAAC RODRIGUEZ GONZALEZ MD, MHSA (CEO & OWNER)
(787) 816-5041
Entity
Organization
Contact information
Practice address
102 CALLE FRANCISCO JAURREGUI, ARECIBO, PR 00612-4572
(787) 816-5041
(787) 881-5742
Mailing address
702 CALLE UN APT G1, SAN JUAN, PR 00907-4202
(787) 506-0723
(787) 881-5742
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
208M00000X
Hospitalist Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194221549
NPI
PR
01
—
1194245365
NPI
PR
Enumeration date
08/18/2022
Last updated
08/12/2023
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