Healthcare Provider Details

I. General information

NPI: 1578902326
Provider Name (Legal Business Name): SAUL HERNANDEZ RODRIGUEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2013
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 AVE SAN LUIS HOSPITAL PAVIA ARECIBO SUITE 102
ARECIBO PR
00612-3637
US

IV. Provider business mailing address

PO BOX 2792
ARECIBO PR
00613-2792
US

V. Phone/Fax

Practice location:
  • Phone: 787-878-5989
  • Fax:
Mailing address:
  • Phone: 787-878-5989
  • Fax: 787-878-6669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number21535
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: