Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 1371 | PR |
NPI | 1043278534 |
---|---|
Provider Name | Dr. Maria Margarita Rodriguez |
First Address | Bayamon, PR 00959-7200 |
Second Address | Bayamon, PR 00959-7200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 24/08/2016 |