Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DN15480 | FL |
N | 1223G0001X | General Practice | D2303 | PR |
N | 213EG0000X | General Practice | D2303 | PR |
NPI | 1184835985 |
---|---|
Provider Name | Dr. Ana Maria Rodriguez |
First Address | Guaynabo, PR 00969 |
Second Address | Bartow, FL 33830-6703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 20/02/2020 |