Individual
LUIS RAMON RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
760 BROADWAY, WOODHULL MEDICAL & MENTAL HEALTH CENTER, DEPARTMENT OF PEDIATRICS, BROOKLYN, NY 11206
(718) 963-8000
(718) 630-3122
Mailing address
760 BROADWAY, WOODHULL MEDICAL & MENTAL HEALTH CENTER, DEPARTMENT OF PEDIATRICS ROOM 2B-321, BROOKLYN, NY 11206
(718) 963-8000
(718) 630-3122
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
177629
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
177629
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01358387
—
NY
Enumeration date
07/10/2006
Last updated
03/28/2014
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