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NPI Code Detail

MEDICARE: DR. DIOMEDES RAFAEL RODRIGUEZ-VARGAS M.D.

MEDICARE: DR. DIOMEDES RAFAEL RODRIGUEZ-VARGAS 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
1207L00000XAnesthesiology Physician15741PR

General Provider Information

NPI Number : 1356303119
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIOMEDES RAFAEL RODRIGUEZ-VARGAS M.D.
Provider Business Mailing Address
First Line : PASEO DEL PRADO #133
Second Line :
City : CAROLINA
State : PR
Zip : 00987
Country : US
Telephone Number : 787-502-2971
Fax Number :
Provider Business Practice Location Address
First Line : 70 CALLE SANTA CRUZ
Second Line : HOSPITAL HIMA SAN PABLO
City : BAYAMON
State : PR
Zip : 00961-7052
Country : US
Telephone Number : 787-620-9581
Fax Number : 787-653-3588
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 09/17/2010

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