Individual
DR. ANTONIO JUAN RODRIGUEZ MIMOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
AVE FD ROOSEVELT #400, SUITE304, HATO REY, PR 00918
(787) 763-6065
(787) 753-0054
Mailing address
AVE FD ROOSEVELT #400, SUITE304, HATO REY, PR 00918
(787) 763-6065
(787) 753-0054
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12583
PR
Other
Enumeration date
03/24/2006
Last updated
05/17/2011
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