Organization
MINDSPAN MEDICAL AMERICA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS RODRIGUEZ (GENERAL COUNSEL)
(787) 923-1393
Entity
Organization
Contact information
Practice address
169 MADISON AVE STE 90030, NEW YORK, NY 10016-5101
(508) 494-8275
Mailing address
169 MADISON AVE STE 90030, NEW YORK, NY 10016-5101
(508) 494-8275
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
07/31/2026
Last updated
07/31/2026
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