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NPI 1457392474

NPI 1457392474 : HECTOR RODRIGUEZ PEREZ MD : SAN JUAN, PR

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General NPI Number Information
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    NPI Number           |    1457392474
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    Entity Type          |    Individual 
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    Provider Name        |    HECTOR RODRIGUEZ PEREZ MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/09/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    420 AVE PONCE DE LEON SUITE 603 EDIF MIDTOWN
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00918-3406
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    Country              |    US
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    Telephone            |    787-753-0920
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    Fax                  |    787-281-8913
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Provider Business Mailing Address
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    Address Line         |    420 AVE PONCE DE LEON SUITE 603 EDIF MIDTOWN
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00918-3406
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    Country              |    US
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    Telephone            |    787-753-0920
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    Fax                  |    787-281-8913
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    4259
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    License Number State |    PR
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Taxonomy #2
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    4259
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    License Number State |    PR
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