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Individual

DR. JACQUELINE RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
STREET 156 KM 48.8 BO SUMIDERO, AGUAS BUENAS, PR 00703-9819
(787) 732-0509
(787) 924-7324
Mailing address
PO BOX 5715, CAGUAS, PR 00726-5715
(787) 732-0509
(787) 924-7324

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2411
PR
1223G0001X
General Practice Dentistry
2411
PR

Other

Enumeration date
10/05/2006
Last updated
07/25/2022
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