Individual
YADIRA SOCORRO RODRIGUEZ VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
170 CALLE CEDRO, URB. LOS ROBLES, MOCA, PR 00676-4212
(787) 317-0645
Mailing address
170 CALLE CEDRO, URB. LOS ROBLES, MOCA, PR 00676-4212
(787) 317-0645
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16875
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16875
MEDICAL LIC NUMBER
PR
Enumeration date
12/21/2007
Last updated
03/21/2017
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