MEDICARE: DR. REBECCA E RODRIGUEZ POU M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	20000	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	20000	OTHER	PR	PERMANENT STATE LICENSE

General Provider Information

NPI Number	:	1043524432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA E RODRIGUEZ POU M.D

Provider Business Mailing Address
First Line	:	M5 CALLE LA PAZ
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00725-2229
Country	:	US
Telephone Number	:	904-909-9299
Fax Number	:

Provider Business Practice Location Address
First Line	:	M5 CALLE LA PAZ
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00725-2229
Country	:	US
Telephone Number	:	904-909-9299
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2010
Last Update Date	:	04/06/2026

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