MEDICARE: JOSE ANGEL RODRIGUEZ ARCHILLA 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	208100000X	Physical Medicine & Rehabilitation Physician	16252	PR

General Provider Information

NPI Number	:	1255532529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE ANGEL RODRIGUEZ ARCHILLA M.D.

Provider Business Mailing Address
First Line	:	SENDEROS EN MONTEHIEDRA
Second Line	:	CALLE MALAQUITA, #31
City	:	SAN JUAN
State	:	PR
Zip	:	00926
Country	:	US
Telephone Number	:	787-208-2366
Fax Number	:

Provider Business Practice Location Address
First Line	:	126 AVE DE DIEGO
Second Line	:	SEIN MEDICAL PLAZA, SUITE 202
City	:	SAN JUAN
State	:	PR
Zip	:	00921-3036
Country	:	US
Telephone Number	:	787-208-2366
Fax Number	:

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

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	02/06/2020

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