Individual
CARLOS MANUEL RODRIGUEZ ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
URB. VALLE ALTO CALLE LOMA #2386, PONCE, PR 00730-4145
(787) 599-8148
Mailing address
URB. VALLE ALTO CALLE LOMA #2386, PONCE, PR 00730-4145
(787) 599-8148
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1121
PR
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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