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Individual

DR. PORFIRIO RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MANUEL PAVIA 655, EDIF CHINEA OFIC 102, SENTURCE, PR 00910
(787) 727-4120
(787) 268-4054
Mailing address
PO BOX 11782, SAN JUAN, PR 00910
(787) 727-4120
(787) 268-4054

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
10615
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038976000
PR
01
069468
LA CRUZ QZUL
Enumeration date
10/03/2006
Last updated
09/07/2022
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