Healthcare Provider Details

I. General information

NPI: 1093261257
Provider Name (Legal Business Name): DANIEL ALEJANDRO RODRIGUEZ MARTINEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2016
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOSPITAL MENONITA CAGUAS
CAGUAS PR
00725
US

IV. Provider business mailing address

CARR PR 172 URB TURABO GARDENS HOSPITAL MENONITA CAGUAS
CAGUAS PR
00725
US

V. Phone/Fax

Practice location:
  • Phone: 787-653-0550
  • Fax:
Mailing address:
  • Phone: 787-653-0550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number21448
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: