Individual
REYNALDO DEJESUS-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
909 AVE TITO CASTRO STE 614, PONCE, PR 00716-4722
(787) 840-8174
(787) 843-2084
Mailing address
909 AVE TITO CASTRO STE 614, TORRE MEDICA SAN LUCAS, PONCE, PR 00716
(787) 840-8174
(787) 843-2084
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
13269
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037693801
—
PR
Enumeration date
09/20/2006
Last updated
01/18/2024
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