Individual
MR. RICARDO JAVIER DE JESUS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
388 ZONA IND REPARADA 2, PONCE, PR 00716-2347
(787) 840-2575
Mailing address
PO BOX 1133, SANTA ISABEL, PR 00757-1133
(939) 325-1611
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/29/2019
Last updated
12/29/2019
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