MEDICARE: JOSE J RODRIGUEZ SALAZAR

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	208D00000X	General Practice Physician	17114	PR

General Provider Information

NPI Number	:	1770741811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE J RODRIGUEZ SALAZAR

Provider Business Mailing Address
First Line	:	37 CALLE LOS PINOS
Second Line	:
City	:	DORADO
State	:	PR
Zip	:	00646-6801
Country	:	US
Telephone Number	:	939-218-1488
Fax Number	:

Provider Business Practice Location Address
First Line	:	37 CALLE LOS PINOS
Second Line	:
City	:	DORADO
State	:	PR
Zip	:	00646-6801
Country	:	US
Telephone Number	:	939-218-1488
Fax Number	:

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

Provider Enumeration Date	:	05/27/2008
Last Update Date	:	12/04/2025

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