MEDICARE: DR. MIGUEL EDUARDO RODRIGUEZ 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	207RC0000X	Cardiovascular Disease Physician	07421	PR

General Provider Information

NPI Number	:	1487765699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIGUEL EDUARDO RODRIGUEZ MD

Provider Business Mailing Address
First Line	:	2 CALLE MUNOZ RIVERA
Second Line	:	C-2
City	:	CAGUAS
State	:	PR
Zip	:	00725-2603
Country	:	US
Telephone Number	:	787-746-6900
Fax Number	:	787-745-4252

Provider Business Practice Location Address
First Line	:	2 CALLE MUNOZ RIVERA
Second Line	:	C-2
City	:	CAGUAS
State	:	PR
Zip	:	00725-2603
Country	:	US
Telephone Number	:	787-746-6900
Fax Number	:	787-745-4252

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

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