Provider Demographics
NPI:1427785195
Name:RODRIGUEZ VALENTIN, JOSE GERARDO (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:GERARDO
Last Name:RODRIGUEZ VALENTIN
Suffix:
Gender:
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:PO BOX 1126
Mailing Address - Street 2:
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-1126
Mailing Address - Country:US
Mailing Address - Phone:787-313-1630
Mailing Address - Fax:
Practice Address - Street 1:312 ST KM 1.5 INT
Practice Address - Street 2:LAS MAGAS, MONTE GRANDE
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623-0062
Practice Address - Country:US
Practice Address - Phone:787-313-1630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-03
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR022939208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice