Healthcare Provider Details

I. General information

NPI: 1063942019
Provider Name (Legal Business Name): KARLA RODRIGUEZ-BARRAGAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2017
Last Update Date: 09/04/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BARRIO SECTOR LOMAS
CAYEY PR
00736
US

IV. Provider business mailing address

BARRIO SECTOR LOMAS
CAYEY PR
00736
US

V. Phone/Fax

Practice location:
  • Phone: 787-535-1001
  • Fax:
Mailing address:
  • Phone: 787-535-1001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number25213
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: