Healthcare Provider Details

I. General information

NPI: 1346478187
Provider Name (Legal Business Name): DR. ZASKIA RODRIGUEZ GONZALEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2009
Last Update Date: 01/25/2024
Certification Date: 01/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 AVENIDA TITO CASTRO SUITE 102
PONCE PR
00716-0071
US

IV. Provider business mailing address

32 CALLE CEIBA MANSION DEL SUR
COTO LAUREL PR
00780
US

V. Phone/Fax

Practice location:
  • Phone: 787-651-6121
  • Fax:
Mailing address:
  • Phone: 787-651-6121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number18166
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: