Organization
THE PALMS INTERVENTIONAL PAIN CLINIC, PSC
Active
Other names
The Palms Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR F RODRIGUEZ MD (MEDICAL DIRECTOR)
(787) 200-0350
Entity
Organization
Contact information
Practice address
CARR 167 # INT839, SECTOR LA ALDEA, BAYAMON, PR 00961-4477
(787) 200-0350
Mailing address
URB. VALLE ARRIBA HEIGHTS, ST. 110 BH 2, CAROLINA, PR 00983
(787) 200-0350
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
16381
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CY164A
PTAN
PR
Enumeration date
10/05/2011
Last updated
10/05/2011
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