Individual
MR. NIKITAS PABLO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PASEO DR. JOSE CELSO BARBOSA, SAN JUAN, PR 00936
(787) 758-2525
Mailing address
B COND JARD DE SAN IGNACIO APT 811B, SAN JUAN, PR 00927-7017
(787) 603-6712
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
23421
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2021
Last updated
10/12/2023
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