Individual
DR. JUAN MANUEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10908 SUNRISE TRL, BRECKSVILLE, OH 44141-1427
(440) 526-9606
Mailing address
10908 SUNRISE TRL, BRECKSVILLE, OH 44141-1427
(440) 526-9606
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35. 035255
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35. 035255
MEDICAL LICENSE
OH
Enumeration date
05/30/2012
Last updated
05/30/2012
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