Provider Demographics
NPI:1487862454
Name:RODRIGUEZ, ALBERTO RODRIGUEZ (MD)
Entity type:Individual
Prefix:MR
First Name:ALBERTO
Middle Name:RODRIGUEZ
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:434 JUANITA ST
Mailing Address - Street 2:URB BELLAS LOMAS MIRADENO
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682
Mailing Address - Country:US
Mailing Address - Phone:787-833-0744
Mailing Address - Fax:
Practice Address - Street 1:AVE URALINES
Practice Address - Street 2:HOSTOS MEDICAL
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682
Practice Address - Country:US
Practice Address - Phone:787-833-8700
Practice Address - Fax:787-205-5155
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2014-08-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR7134225X00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist