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Organization

DR. REYNALDO DE JESUS RODRIGUEZ PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. REYNALDO DE JESUS M.D. (PRESIDENT)
(787) 840-8174
Entity
Organization

Contact information

Practice address
909 AVE TITO CASTRO, TORRE MEDICA SAN LUCAS SUITE 614, PONCE, PR 00716-4728
(787) 840-8174
(787) 843-2084
Mailing address
909 AVE TITO CASTRO, TORRE MEDICA SAN LUCAS SUITE 614, PONCE, PR 00716-4728
(787) 840-8174
(787) 843-2084

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
13269
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1881791663
NPI
PR
Enumeration date
05/20/2011
Last updated
05/20/2011
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