Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 3875 | PR |
NPI | 1104966670 |
---|---|
Provider Name | Dr. Eduardo Flores-Rodriguez |
First Address | Caguas, PR 00725-3707 |
Second Address | Caguas, PR 00725-3707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2007 |
Last Update Date | 08/07/2007 |