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NPI Code Detail

MEDICARE: DR. LUIS R. RODRIGUEZ M.D.

MEDICARE: DR. LUIS R. 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
1207Q00000XFamily Medicine Physician5993PR
2208D00000XGeneral Practice Physician5993PR

General Provider Information

NPI Number : 1871545368
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUIS R. RODRIGUEZ M.D.
Provider Business Mailing Address
First Line : PO BOX 9809
Second Line :
City : CAGUAS
State : PR
Zip : 00726-9809
Country : US
Telephone Number : 787-704-0705
Fax Number : 787-704-0705
Provider Business Practice Location Address
First Line : 431 AVE HOSTOS
Second Line :
City : SAN JUAN
State : PR
Zip : 00918-3014
Country : US
Telephone Number : 787-704-0705
Fax Number : 787-744-7444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 07/24/2024

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