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General NPI Number Information
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NPI Number | 1124002670
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Entity Type | Individual
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Provider Name | JOSE F RODRIGUEZ RODRIGUEZ MD
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Gender | Male
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 04/18/2017
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Provider Practice Location Address
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Address Line | 355 AVE FONT MARTELO STE 401 HOSPITAL RYDER
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City | HUMACAO
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State | PR
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Zip | 00791
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Country | US
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Telephone | 787-850-4815
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Fax | 787-850-4815
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Provider Business Mailing Address
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Address Line | PMB 201/200 AVE R CORDERO STE 140
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-467-7268
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Fax | 787-850-4815
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 7760
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License Number State | PR
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