MEDICARE: DR. REBECCA RODRIGUEZ RODRIGUEZ 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	207Q00000X	Family Medicine Physician	14171	PR

General Provider Information

NPI Number	:	1679543813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA RODRIGUEZ RODRIGUEZ M.D.

Provider Business Mailing Address
First Line	:	21 PATRIOT BLVD
Second Line	:
City	:	FORT BUCHANAN
State	:	PR
Zip	:	00934-4519
Country	:	US
Telephone Number	:	787-708-8082
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 PATRIOT BLVD
Second Line	:
City	:	FORT BUCHANAN
State	:	PR
Zip	:	00934-4519
Country	:	US
Telephone Number	:	787-764-9662
Fax Number	:

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	02/27/2025

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