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General NPI Number Information
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NPI Number | 1548687528
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Entity Type | Organization
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Legal Business Name | MEDINT CORPORATION
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Dates
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Enumeration Date | 03/27/2014
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Last Update Date | 03/27/2014
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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 |
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Provider Business Mailing Address
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Address Line | PO BOX 859 STE. 401
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City | HUMACAO
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State | PR
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Zip | 00792-0859
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOSE F RODRIGUEZ RODRIGUEZ
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Credential | M.D.
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Telephone | 787-850-4815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 7760
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License Number State | PR
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