Individual
DR. IVAN G RODRIGUEZ TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, DC
Contact information
Practice address
1241 AVE HOSTOS, PONCE, PR 00717-0943
(787) 298-4516
Mailing address
URB JARDINES DEL CARIBE, OO-36 CALLE 49, PONCE, PR 00728
(787) 298-4516
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
918
PR
111NS0005X
Sports Physician Chiropractor
918
PR
Other
Enumeration date
08/01/2023
Last updated
03/04/2024
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