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NPI Code Detail

MEDICARE: DR. RODRIGO A PRATDESABA M.D. PHD.

MEDICARE:  DR. RODRIGO A PRATDESABA  M.D. PHD.
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
1208D00000XGeneral Practice Physician4938PR

General Provider Information

NPI Number : 1659360113
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODRIGO A PRATDESABA M.D. PHD.
Provider Business Mailing Address
First Line : 23 CALLE B
Second Line : SANTA CLARA
City : GUANICA
State : PR
Zip : 00653-2508
Country : US
Telephone Number : 787-821-3014
Fax Number : 787-821-3767
Provider Business Practice Location Address
First Line : 10 CALLE 25 DE JULIO
Second Line :
City : GUANICA
State : PR
Zip : 00653-2105
Country : US
Telephone Number : 787-821-2006
Fax Number : 787-821-3767
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 07/08/2007

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Directions to “ DR. RODRIGO A PRATDESABA M.D. PHD.” Practice Location

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