MEDICARE: RODMIL RODRIGUEZ ALICEA RN, BSN

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	363LF0000X	Family Nurse Practitioner	98319	PR

General Provider Information

NPI Number	:	1083548028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODMIL RODRIGUEZ ALICEA RN, BSN

Provider Business Mailing Address
First Line	:	URBANIZACION VISTA ALEGRE
Second Line	:	CALLE FERRER Y GUARDIA 99, BAJOS
City	:	BAYAMON
State	:	PR
Zip	:	00959
Country	:	US
Telephone Number	:	787-445-0519
Fax Number	:

Provider Business Practice Location Address
First Line	:	URBANIZACION VISTA ALEGRE
Second Line	:	CALLE FERRER Y GUARDIA 99, BAJOS
City	:	BAYAMON
State	:	PR
Zip	:	00959
Country	:	US
Telephone Number	:	787-445-0519
Fax Number	:

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

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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