Provider Demographics
NPI:1154723096
Name:RODRIGUEZ, ARNALDO
Entity type:Individual
Prefix:
First Name:ARNALDO
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CARRION CT
Mailing Address - Street 2:APARTMENT 703
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00911-1290
Mailing Address - Country:US
Mailing Address - Phone:787-225-7203
Mailing Address - Fax:
Practice Address - Street 1:6 CARRION CT
Practice Address - Street 2:APARTMENT 703
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00911-1290
Practice Address - Country:US
Practice Address - Phone:787-225-7203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR533111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor