Individual
LUIS M. RODRIGUEZ-MORA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 CALLE PALMA, SUSONI MEDICAL BUILDING, SUITE 101, ARECIBO, PR 00612-4526
(787) 878-4800
(787) 817-1237
Mailing address
PO BOX 597, ARECIBO, PR 00613-0597
(787) 878-4800
(787) 817-1237
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4282
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063758
CRUZ AZUL DE PUERTO RICO
PR
01
—
5774
INTERNATIONAL MEDICAL CAR
PR
01
—
95413
TRIPLE-S
PR
01
—
991211
MEDICARE Y MUCHO MAS
PR
Enumeration date
12/09/2005
Last updated
07/08/2007
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