Healthcare Provider Details

I. General information

NPI: 1124001474
Provider Name (Legal Business Name): ORLANDO RODRIGUEZ CALES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2005
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2864 CALLE HIBISCUS URB VILLA FLORES
PONCE PR
00716-2914
US

IV. Provider business mailing address

2864 CALLE HIBISCUS URB VILLA FLORES
PONCE PR
00716-2914
US

V. Phone/Fax

Practice location:
  • Phone: 787-841-2878
  • Fax: 787-841-2888
Mailing address:
  • Phone: 787-841-2878
  • Fax: 787-841-2888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number16128
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: