MEDICARE: DR. MAGDA IVETTE RODRIGUEZ-COLON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	8114	PR

General Provider Information

NPI Number	:	1033249792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAGDA IVETTE RODRIGUEZ-COLON M.D.

Provider Business Mailing Address
First Line	:	37 CALLE JAIME RODRIGUEZ
Second Line	:	URB. SANTA PAULA
City	:	GUAYNABO
State	:	PR
Zip	:	00969-5917
Country	:	US
Telephone Number	:	787-790-4339
Fax Number	:

Provider Business Practice Location Address
First Line	:	37 CALLE JAIME RODRIGUEZ
Second Line	:	URB. SANTA PAULA
City	:	GUAYNABO
State	:	PR
Zip	:	00969-5917
Country	:	US
Telephone Number	:	787-790-4339
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	12/22/2016

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