Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 7822 | PR |
N | 2080P0203X | Pediatric Critical Care Doctor | 7822 | PR |
Y | 2080P0214X | Pediatric Pulmonologist | 7822 | PR |
NPI | 1013914019 |
---|---|
Provider Name | Dr. Jose Rafael Rodriguez-Santana |
First Address | Caguas, PR 00726-8129 |
Second Address | San Juan, PR 00917-5022 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2005 |
Last Update Date | 19/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7822 | MEDICAL LICENSE NUMBER (01) | PR |
99605 | TRIPLE S (01) | PR |