Individual
DR. IVAN RAFAEL RODRIGUEZ COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
STREET NUMBER 31, LOCAL D 2 JUNCOS PLAZA, JUNCOS, PR 00777-1221
(787) 713-6505
(787) 713-6505
Mailing address
PO BOX 1221, JUNCOS, PR 00777-1221
(787) 713-6505
(787) 713-6505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15093
PR
208D00000X
General Practice Physician
15093
PR
Other
Enumeration date
10/05/2005
Last updated
06/03/2011
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