Individual
DR. CARMEN ELIZABETH RODRIGUEZ-GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
CARR 2 KM 365 PLAZA MONSERRATE 3 LOCAL 4, HORMIGUEROS, PR 00660
(787) 245-9802
Mailing address
PO BOX 1012, ANASCO, PR 00610-1012
(787) 453-0107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18119
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18119
PROFESSIONAL LICENSE
PR
Enumeration date
01/03/2011
Last updated
12/07/2020
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