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Individual

DR. ISMAEL RODRIGUEZ

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8129 CALLE CONCORDIA, CONDOMINIO CONCORDIA SUITE 601, PONCE, PR 00717-1548
(787) 843-6320
(787) 843-6320
Mailing address
8129 CALLE CONCORDIA, CONDOMINIO CONCORDIA SUITE 601, PONCE, PR 00717-1548
(787) 843-6320
(787) 843-6320

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2799
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
062979
CRUZ AZUL
PR
01
1993
INTERNATIONAL MEDICAL CAR
PR
01
225007
UTI
PR
01
2577
AMERICAN HEALTH
PR
01
40515
PROSSAM
PR
01
4402799
UIA
PR
01
7310028
HUMANA
PR
01
93461
TRIPLE S
PR
Enumeration date
02/13/2006
Last updated
07/09/2007
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