Provider Demographics
NPI:1285452136
Name:ALODAN PRIMARY CARE AND WELLNESS CENTER BY DRA. SAELYS RODRIGUEZ
Entity type:Organization
Organization Name:ALODAN PRIMARY CARE AND WELLNESS CENTER BY DRA. SAELYS RODRIGUEZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAELYS
Authorized Official - Middle Name:I
Authorized Official - Last Name:RODRIGUEZ RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-322-2725
Mailing Address - Street 1:PO BOX 1063
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-1063
Mailing Address - Country:US
Mailing Address - Phone:787-322-2725
Mailing Address - Fax:
Practice Address - Street 1:CARR 2 KM 92.1 BO. MEMBRILLO
Practice Address - Street 2:
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627
Practice Address - Country:US
Practice Address - Phone:939-814-1014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty