Individual
DR. JESUS W RODRIGUEZ RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CARRETERA 132 KM.22.1 BO CANAS, PLAZA GABRIELA, PONCE, PR 00728
(787) 812-3939
(787) 812-3931
Mailing address
PO BOX 664, MERCEDITA, PR 00715-0664
(787) 812-3939
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
13376
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100832
CRUZ AZUL
PR
01
—
200095
MEDICARE Y MUCHO MAS
PR
01
—
201908
U.T.I.
PR
01
—
20326
TRIPLE S
PR
01
—
7310383
HUMANA
PR
01
—
PG-4131
PAN AMERICANLIFE
PR
Enumeration date
06/20/2006
Last updated
08/14/2013
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