Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 2667 | PR |
NPI | 1124169248 |
---|---|
Provider Name | Dr. Dunia De La Caridad Rodriguez |
First Address | San Juan, PR 00926 |
Second Address | Bayamon, PR 00959-6710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2007 |
Last Update Date | 08/07/2007 |