Active NPIIndividual provider

Ivan S Rodriguez, MD

Family Medicine in Yauco, Puerto Rico

NPI Number1205862307
Practice location
40 Calle Mattei Lluberas, Yauco, PR 00698-3635
Fax
787-856-3380
Last updated
May 14, 2020

Ivan S Rodriguez is a Family Medicine based in Yauco, PR. Ivan S Rodriguez practices in Yauco, PR and has the professional credentials of MD. The NPI Number for Ivan S Rodriguez is 1205862307 and holds a License No. 5659 (PR). The current practice location address for Ivan S Rodriguez is 40 Calle Mattei Lluberas, Yauco, PR 00698-3635 and can be reached out via phone at 787-856-3380 and via fax at 787-856-3380.

Provider Profile Details

NPI Number
1205862307
Provider Name
Ivan S Rodriguez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
40 Calle Mattei Lluberas, Yauco, PR 00698-3635
Phone Number
787-856-3380
Fax Number
787-856-3380
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
June 23, 2006
Last Update Date
May 14, 2020
Certification Date
May 14, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Calle Mattei Lluberas
Yauco, PR 00698-3635
City
Yauco
Zip
00698-3635
Phone Number
787-856-3380
Fax Number
787-856-3380
Yauco, PR 00698Get directions →

Provider Business Mailing Address Details

Address
Po Box 1418
Lajas, PR 00667-1418
City
Lajas
State
PR
Zip
00667-1418
Phone Number
787-808-2247

License Information

License Number
5659
License State
PR
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ivan S Rodriguez, MD?

The NPI number of Ivan S Rodriguez, MD is 1205862307. It was assigned on June 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Ivan S Rodriguez, MD?

Ivan S Rodriguez, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in PR under license number 5659.

Where does Ivan S Rodriguez, MD practice?

The practice location is 40 Calle Mattei Lluberas, Yauco, PR 00698-3635. The office can be reached at 787-856-3380 (phone) or 787-856-3380 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205862307 directly on the NPPES registry website.

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