Healthcare Provider Details

I. General information

NPI: 1548451859
Provider Name (Legal Business Name): HARRY ALVERIO RODRIGUEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: HARRY ALVERIO SR

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 02/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GO 5 AVE CAMPO RICO COUNTRY CLUB
CAROLINA PR
00982-2678
US

IV. Provider business mailing address

4K35 CALLE 214 COLINAS DE FAIR VIEW
TRUJILLO ALTO PR
00976-8247
US

V. Phone/Fax

Practice location:
  • Phone: 787-762-3572
  • Fax:
Mailing address:
  • Phone: 787-354-8726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number17061
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: