Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 1135 | PR |
NPI | 1346597127 |
---|---|
Provider Name | Mrs. Zaira I Rodriguez Almodovar |
First Address | Toa Baja, PR 00949 |
Second Address | Dorado, PR 00646-3633 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2012 |
Last Update Date | 25/10/2018 |