Organization
DR.JESUS W RODRIGUEZ,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESUS W RODRIGUEZ M.D. (PRESIDENTE)
(787) 812-3939
Entity
Organization
Contact information
Practice address
CARRETERA 132 KM 22.1BO CANAS, PLAZA GABRIELA, PONCE, PR 00728
(787) 812-3939
(787) 812-3931
Mailing address
PO BOX 664, MERCEDITA, PR 00715-0664
(787) 812-3939
(787) 812-3931
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85070DR
TRIPLE S
PR
Enumeration date
06/16/2006
Last updated
08/22/2020
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