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NPI Code Detail

MEDICARE: JOSE ROBERTO RODRIGUEZ VAZQUEZ

MEDICARE:   JOSE ROBERTO RODRIGUEZ VAZQUEZ
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
12085R0202XDiagnostic Radiology Physician021324PR
22085B0100XBody Imaging Physician021324PR

General Provider Information

NPI Number : 1235661521
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE ROBERTO RODRIGUEZ VAZQUEZ
Provider Business Mailing Address
First Line : 1815 RD 2
Second Line : CT RADIOLOGY COMPLEX IMAGING CENTER
City : BAYAMON
State : PR
Zip : 00956
Country : US
Telephone Number : 787-780-9069
Fax Number :
Provider Business Practice Location Address
First Line : 1815 RD 2
Second Line : CT RADIOLOGY COMPLEX IMAGING CENTER
City : BAYAMON
State : PR
Zip : 00956
Country : US
Telephone Number : 787-780-9069
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2017
Last Update Date : 05/21/2026

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Directions to “ JOSE ROBERTO RODRIGUEZ VAZQUEZ ” Practice Location

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