MEDICARE: DR. HIRAM RODRIGUEZ-TORRES MD

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	A181749	CA
2	207R00000X	Internal Medicine Physician	19891	PR
3	207R00000X	Internal Medicine Physician	303505	NY

General Provider Information

NPI Number	:	1457714321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HIRAM RODRIGUEZ-TORRES MD

Provider Business Mailing Address
First Line	:	706 AVE MIRAMAR APT 2
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00907-4123
Country	:	US
Telephone Number	:	787-560-6351
Fax Number	:

Provider Business Practice Location Address
First Line	:	706 AVE MIRAMAR APT 2
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00907-4123
Country	:	US
Telephone Number	:	787-560-6351
Fax Number	:

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

Provider Enumeration Date	:	03/30/2016
Last Update Date	:	06/30/2023

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