Individual
DR. CARLOS RAFAEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2771 FREDERICK DOUGLASS, NEW YORK, NY 10039
(212) 690-0303
Mailing address
2771 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10039-3027
(212) 690-0303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
268464
NY
282N00000X
General Acute Care Hospital
117610
CA
282N00000X
General Acute Care Hospital
268464
NY
Other
Enumeration date
11/18/2011
Last updated
03/06/2014
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