Healthcare Provider Details

I. General information

NPI: 1235770074
Provider Name (Legal Business Name): ENRIQUE RODRIGUEZ-PAZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2019
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2213 PONCE BYP
PONCE PR
00717-1310
US

IV. Provider business mailing address

21711 FRONTENAC CT
BOCA RATON FL
33433-7476
US

V. Phone/Fax

Practice location:
  • Phone: 787-840-8686
  • Fax:
Mailing address:
  • Phone: 561-756-0197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberME145448
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: