Personal Home Physician
NPI #1487678736 in Juncos, Puerto Rico
Provider Information
- NPI Number
- 1487678736
- Entity Type
- Organization
- Organization Name
- Personal Home Physician
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 27, 2006
- Last Updated
- Feb 23, 2012
Practice Location
- Address
- CARR. 31 JUNCOS PLAZA
- Address 2
- LOCAL D-2
- City
- Juncos
- State
- Puerto Rico
- ZIP Code
- 00777
- Phone
- (787) 713-6505
Authorized Official
- Name
- MR. IVAN R. RODRIGUEZ, M.D.
- Title
- PRESIDENT
- Phone
- (787) 713-6505
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
| Family Medicine |
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