Individual
JETSEN AMAURY RODRIGUEZ SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CARR 132 KM 22.1 BO CANAS, PONCE, PR 00728-2687
(787) 500-1270
Mailing address
PO BOX 39, MERCEDITA, PR 00715-0039
(787) 500-1270
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
S6925
TX
208C00000X
Colon & Rectal Surgery Physician
Primary
21796
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
PR
Other
Enumeration date
05/01/2015
Last updated
11/04/2024
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