Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 13738 | PR |
NPI | 1144390501 |
---|---|
Provider Name | Dr. Luis Miguel Rodriguez Maldonado |
First Address | San Juan, PR 00917-3825 |
Second Address | Carolina, PR 00984 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 30/03/2011 |