Individual
JOSE LUIS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
177 AVE DE DIEGO, SAN JUAN, PR 00927-6310
(787) 220-0551
Mailing address
177 AVE DE DIEGO, SAN JUAN, PR 00927-6310
(787) 220-0551
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0303
PR
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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