Individual
JOSE M. RODRIGUEZ-MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
300 AVE DOMENECH, SAN JUAN, PR 00918
(787) 765-7320
Mailing address
PO BOX 366527, SAN JUAN, PR 00936-6527
(787) 765-7320
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
21285
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2013
Last updated
01/29/2020
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