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NPI Code Detail

MEDICARE: DR. PEDRO BENITO RODRIGUEZ D.M.D.

MEDICARE:  DR. PEDRO BENITO RODRIGUEZ  D.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
11223G0001XGeneral Practice Dentistry2040PR

General Provider Information

NPI Number : 1972503282
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PEDRO BENITO RODRIGUEZ D.M.D.
Provider Business Mailing Address
First Line : #107 AVE. GONZALEZ GIUSTI
Second Line : SUITE 306,CAPARRA GALLERY PLAZA
City : GUAYNABO
State : PR
Zip : 00966
Country : US
Telephone Number : 787-273-6810
Fax Number : 787-273-0521
Provider Business Practice Location Address
First Line : #107 AVE. GONZALEZ GIUSTI
Second Line : SUITE 306,CAPARRA GALLERY PLAZA
City : GUAYNABO
State : PR
Zip : 00966
Country : US
Telephone Number : 787-273-6810
Fax Number : 787-273-0521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 07/08/2007

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Directions to “ DR. PEDRO BENITO RODRIGUEZ D.M.D.” Practice Location

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