Individual
REY LUIS HERNANDEZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(787) 469-4786
Mailing address
CALLE 20 W 37 VILLA NUEVA, CAGUAS, PR 00727-6947
(787) 469-4786
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125.079185
IL
208D00000X
General Practice Physician
35628
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/30/2019
Last updated
06/21/2022
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