Individual
JOSE L. PORTALATIN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CARR 129 KM 0.1, ARECIBO, PR 00612-2854
(787) 447-4411
Mailing address
PO BOX 483, HATILLO, PR 00659-0483
(787) 447-4411
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14953
PR
208D00000X
General Practice Physician
ACN639
FL
Other
Enumeration date
07/07/2006
Last updated
12/07/2016
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