Angel Luis Garcia Rodriguez
Pediatrics in Humacao, PR. Individual provider (NPI-1).
NPI number1194316331
StatusActive
Last updated in NPPESMay 5, 2024
Details
- NPI
- 1194316331
- Entity type
- Individual (NPI-1)
- Name
- Mr. Angel Luis Garcia Rodriguez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2021
- Certification date
- May 5, 2024
- Last updated
- May 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 16639 | PR | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
Palmas Plantation Fairway 112Humacao, PR 00791
Phone 787-207-9627
Mailing address
Palmas Plantation Fairway 112Humacao, PR 00791
Phone 787-207-9627
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