Healthcare Provider Details

I. General information

NPI: 1659052124
Provider Name (Legal Business Name): ADNAN JOR-EL RODRIGUEZ RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2023
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 167 KM 7.5 INTERIOR BARRIO NUEVO, COMUNIDAD HEVIA #80
NARANJITO PR
00719
US

IV. Provider business mailing address

HC 74 BOX 5849
NARANJITO PR
00719-7445
US

V. Phone/Fax

Practice location:
  • Phone: 787-246-5536
  • Fax:
Mailing address:
  • Phone: 787-246-5536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number941122
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number14-145597-041
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1209116
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: