Individual
DR. IVETTE J RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
AVE PADRE RIVERA 10, HUMACAO, PR 00791
(787) 852-6729
(787) 852-3000
Mailing address
PO BOX 9190, HUMACAO, PR 00792
(787) 852-6729
(787) 789-1025
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
934
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42097
SSS
—
Enumeration date
03/28/2006
Last updated
06/13/2014
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