Individual
DR. RAUL RODRIGUEZ MONTIAGUE
Active
Individual
DR. RAUL RODRIGUEZ MONTIAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301091372
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
34832
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-0-41-1822-1
BCBS PIN
MI
05
—
1284133
—
IA
01
—
M38730025
MEDICARE PART B
MI
01
—
RM091372
BCBS
MI
Enumeration date
03/14/2007
Last updated
07/03/2014
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