Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 18873 | PR |
N | 208600000X | Surgeon | 18873 | PR |
Y | 2086X0206X | Surgical Oncologist | 18873 | PR |
NPI | 1134419161 |
---|---|
Provider Name | Angel Miguel Rodriguez Rivera |
First Address | San Juan, PR 00922-1981 |
Second Address | San Juan, PR 00921-3399 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2011 |
Last Update Date | 05/12/2014 |