Provider Demographics
NPI:1366169559
Name:QUILES RODRIGUEZ, EDITH MARIE (ND)
Entity type:Individual
Prefix:DR
First Name:EDITH
Middle Name:MARIE
Last Name:QUILES RODRIGUEZ
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1806 SECT. EL LLANO
Mailing Address - Street 2:BO. BEATRIZ
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739
Mailing Address - Country:US
Mailing Address - Phone:787-410-5496
Mailing Address - Fax:
Practice Address - Street 1:1806 SECT. EL LLANO
Practice Address - Street 2:BO. BEATRIZ
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-410-5496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR84175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath