Active NPIIndividual providerSole proprietor

Mrs. Johana Rodriguez, OD

Optometrist in San Juan, Puerto Rico

NPI Number1255640694
Practice location
118 Ave Domenech, San Juan, PR 00918-3503
Fax
—
Last updated
October 4, 2010

Johana Rodriguez is an Optometrist based in San Juan, PR. Johana Rodriguez practices in San Juan, PR and has the professional credentials of OD. The NPI Number for Johana Rodriguez is 1255640694 and holds a License No. 666-0202 (PR). The current practice location address for Johana Rodriguez is 118 Ave Domenech, San Juan, PR 00918-3503 and can be reached out via phone at 787-586-4179.

Provider Profile Details

NPI Number
1255640694
Provider Name
Johana Rodriguez
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
118 Ave Domenech, San Juan, PR 00918-3503
Phone Number
787-586-4179
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 4, 2010
Last Update Date
October 4, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
118 Ave Domenech
San Juan, PR 00918-3503
Zip
00918-3503
Phone Number
787-586-4179
San Juan, PR 00918Get directions →

Provider Business Mailing Address Details

Address
Plaza Fajardo 150 Carr 940
Ste 240
Fajardo, PR 00738-3678
City
Fajardo
State
PR
Zip
00738-3678
Phone Number
787-863-3580
Fax Number
787-860-1333

License Information

License Number
666-0202
License State
PR
Taxonomy
Optometrist · 152W00000X · 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 Mrs. Johana Rodriguez, OD?

The NPI number of Mrs. Johana Rodriguez, OD is 1255640694. It was assigned on October 4, 2010 and is currently active in the NPPES registry.

What is the specialty of Mrs. Johana Rodriguez, OD?

Mrs. Johana Rodriguez, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in PR under license number 666-0202.

Where does Mrs. Johana Rodriguez, OD practice?

The practice location is 118 Ave Domenech, San Juan, PR 00918-3503. The office can be reached at 787-586-4179 (phone).

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 1255640694 directly on the NPPES registry website.

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