Provider Demographics
NPI:1144909359
Name:RODRIGUEZ, EUNICE
Entity type:Individual
Prefix:
First Name:EUNICE
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O BOX 4050
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-4050
Mailing Address - Country:US
Mailing Address - Phone:787-637-5941
Mailing Address - Fax:
Practice Address - Street 1:CARR#2, KM 80.4 BARRIO SAN DANIEL
Practice Address - Street 2:SECTOR LAS CANELAS
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00614
Practice Address - Country:US
Practice Address - Phone:787-422-9890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program