Provider Demographics
NPI:1194735027
Name:RODRIGUEZ, FRANCISCO (MD)
Entity type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2808 CALLE LA PLATA
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-4509
Mailing Address - Country:US
Mailing Address - Phone:787-432-4904
Mailing Address - Fax:787-829-2569
Practice Address - Street 1:2808 CALLE LA PLATA
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-4509
Practice Address - Country:US
Practice Address - Phone:787-432-4904
Practice Address - Fax:787-829-2569
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15861208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR23823Medicare ID - Type UnspecifiedMEDICARE