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General NPI Number Information
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NPI Number | 1942241427
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Entity Type | Individual
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Provider Name | JOSE R RODRIGUEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 04/04/2022
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Provider Practice Location Address
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Address Line | EDIFICIO BETANCOURT 305 ESQUINA PAVIA FERNANDEZ JUNCOS AVE
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City | SANTURCE
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State | PR
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Zip | 00909-0000
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Country | US
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Telephone | 787-268-1100
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Fax |
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Provider Business Mailing Address
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Address Line | EDIFICIO BETANCOURT 305 ESQUINA PAVIA FERNANDEZ JUNCOS AVE
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City | SANTURCE
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State | PR
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Zip | 00910-0000
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Country | US
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Telephone | 787-268-1100
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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