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General NPI Number Information
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NPI Number | 1770519662
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Entity Type | Individual
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Provider Name | JOSE ANTONIO RODRIGUEZ MD,PSC
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Gender | Male
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 01/28/2017
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Provider Practice Location Address
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Address Line | 1592 CALLE GUADIANA EL CEREZAL
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City | SAN JUAN
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State | PR
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Zip | 00926-3012
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Country | US
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Telephone | 787-249-4213
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Fax | 787-798-9116
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Provider Business Mailing Address
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Address Line | PO BOX 195163 SAN JUAN
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City | SAN JUAN
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State | PR
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Zip | 00919-5163
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Country | US
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Telephone | 787-249-4213
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Fax | 787-798-9116
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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 | 207UN0902X
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Taxonomy Name | Nuclear Imaging & Therapy Physician
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License Number | 12421
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 12421
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 12421
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License Number State | PR
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