Individual
DR. FABIAN MENDEZ RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CALLE PADRE BENNASSAR 79, ANASCO, PR 00610
(787) 826-2036
(787) 826-2036
Mailing address
BOX 90, CALLE PADRE BENNASSAR 79, ANASCO, PR 00610
(787) 826-2036
(787) 826-2036
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5145
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026413
TRIPLESS
—
Enumeration date
08/02/2006
Last updated
03/30/2010
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