Healthcare Provider Details

I. General information

NPI: 1205911195
Provider Name (Legal Business Name): JAIME RODRIGUEZ-DONES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 CALLE 21 URBANIZACION FLAMBOYAN
MANATI PR
00674
US

IV. Provider business mailing address

PO BOX 1393
MANATI PR
00674-1393
US

V. Phone/Fax

Practice location:
  • Phone: 787-854-5211
  • Fax: 787-790-1534
Mailing address:
  • Phone: 787-854-5211
  • Fax: 787-790-1534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number02820
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: