Individual
MR. JORGE JOEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
134 E NORTH ST, 2ND APT, BETHLEHEM, PA 18018-4021
(787) 983-1586
Mailing address
PO BOX 3385, GUAYNABO, PR 00970-3385
(787) 983-1586
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000032326
—
2255A2300X
Athletic Trainer
RT007505
PA
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
03/07/2017
Last updated
01/18/2021
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