Provider Demographics
NPI:1124169248
Name:RODRIGUEZ, DUNIA DE LA CARIDAD (DMD)
Entity type:Individual
Prefix:DR
First Name:DUNIA
Middle Name:DE LA CARIDAD
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE A BB-20 VENUS GARDENS OESTE
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-758-2525
Mailing Address - Fax:
Practice Address - Street 1:SANTA ROSA MALL
Practice Address - Street 2:SUITE 3-B, 2DO NIVEL
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-6710
Practice Address - Country:US
Practice Address - Phone:787-740-0110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR26671223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics