Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 14683 | PR |
NPI | 1013085554 |
---|---|
Provider Name | Jose M Rodriguez Castro |
First Address | Ciales, PR 00638-0671 |
Second Address | Bayamon, PR 00959-5053 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 07/11/2009 |