Provider Demographics
NPI:1912076761
Name:RODRIGUEZ ARBOLEDA, WILFREDO (MD)
Entity type:Individual
Prefix:
First Name:WILFREDO
Middle Name:
Last Name:RODRIGUEZ ARBOLEDA
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 1:1971 CALLE SANDALO
Mailing Address - Street 2:SAN RAMON
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-3940
Mailing Address - Country:US
Mailing Address - Phone:787-230-1625
Mailing Address - Fax:787-230-1624
Practice Address - Street 1:C2 AVE ALEJANDRINO
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-4704
Practice Address - Country:US
Practice Address - Phone:787-230-1625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11557208100000X, 204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation