Healthcare Provider Details

I. General information

NPI: 1457392474
Provider Name (Legal Business Name): HECTOR RODRIGUEZ PEREZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 AVE PONCE DE LEON SUITE 603 EDIF MIDTOWN
SAN JUAN PR
00918-3406
US

IV. Provider business mailing address

420 AVE PONCE DE LEON SUITE 603 EDIF MIDTOWN
SAN JUAN PR
00918-3406
US

V. Phone/Fax

Practice location:
  • Phone: 787-753-0920
  • Fax: 787-281-8913
Mailing address:
  • Phone: 787-753-0920
  • Fax: 787-281-8913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number4259
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number4259
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: