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Individual

MISS ANATILA RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
CALLE SOL ESQUINA CONCEPCION #12, SAN GERMAN,, PR 00683
(787) 892-2004
(787) 892-2004
Mailing address
13 CALLE GUAYACAN, #19 SOL, SAN GERMAN, PR 00683-9553
(787) 643-6453
(787) 892-2004

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
006511
PR
207R00000X
Internal Medicine Physician
Primary
6511
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
067382
CRUZ AZUL
PR
01
1108328
ACAA
PR
01
14743
PREFERED HEALTH
PR
01
1496
PREFERED MEDICARE CHOICE
PR
01
19255025
PROSSAM
PR
01
5361
FIRST MEDICAL
PR
01
7530006
HUMANA
PR
01
80843RO
TRIPLE SSS
PR
01
PE1426
PALIC
PR
Enumeration date
11/25/2005
Last updated
07/21/2022
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