Individual
FERMIN HERIBERTO RODRIGUEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
108 LUIS MUNOZ RIVERA ST, YABUCOA, PR 00767-1160
(787) 893-0410
Mailing address
PO BOX 1160, YABUCOA, PR 00767-1160
(787) 893-0410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1505
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042095
LA CRUZ AZUL DE PR
PR
01
—
7670050
HUMANA INSURANCE
PR
Enumeration date
11/21/2005
Last updated
07/08/2007
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