MEDICARE: DR. ELIZABETH 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	208D00000X	General Practice Physician	14609	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14609	OTHER	PR	LICENCIA

General Provider Information

NPI Number	:	1871702357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH RODRIGUEZ M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2476
Second Line	:
City	:	ARECIBO
State	:	PR
Zip	:	00613-2476
Country	:	US
Telephone Number	:	787-880-2517
Fax Number	:	787-880-7818

Provider Business Practice Location Address
First Line	:	CARRETERA 2 KM 47.7
Second Line	:
City	:	MANATI
State	:	PR
Zip	:	00674-0000
Country	:	US
Telephone Number	:	787-621-3378
Fax Number	:	787-621-3378

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

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	10/26/2016

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Directions to “ DR. ELIZABETH RODRIGUEZ M.D.” Practice Location

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