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Individual

MR. JUAN LUIS RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
PARCELAS MARUENO CALLE JOSE G BENITEZ NUM 222, PONCE, PR 00731
(787) 202-5437
(787) 923-2927
Mailing address
HC 01 BOX 322, HC 01 BOX 322, PONCE, PR 00731
(787) 202-5437
(787) 923-2927

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
TCL275
PR

Other

Enumeration date
07/05/2007
Last updated
07/08/2007
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