Individual
DR. GLORIA A RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, CEC, FACE
Contact information
Practice address
33 CALLE MAYAGUEZ, PEREZ MORRIS, SAN JUAN, PR 00917-4917
(787) 753-6938
(787) 993-1764
Mailing address
477 CALLE ALVERIO, LA MERCED, SAN JUAN, PR 00918-2620
(787) 764-1103
(787) 764-1103
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6380
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05559DM0
LOCAL NARCOTICS LICENCE
PR
01
—
6380
LICENCE NUMBER
PR
01
—
AR1541095
NARCOTICS LICENCE
PR
Enumeration date
12/20/2005
Last updated
03/30/2010
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