Basic Information
Provider Information
NPI: 1265487490
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RODRIGUEZ
FirstName: ZOE
MiddleName: M.
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: PO BOX 140430
Address2:  
City: ARECIBO
State: PR
PostalCode: 006140430
CountryCode: US
TelephoneNumber: 7877564010
FaxNumber: 7878171502
Practice Location
Address1: DEPARTMENT OF PEDIATRICS UPR SCHOOL OF MEDICINE
Address2: FIRST FLOOR, OFFICE A1-29 UNIVERSITY PEDIATRIC HOSPITAL
City: SAN JUAN
State: PR
PostalCode: 00935
CountryCode: US
TelephoneNumber: 7877564020
FaxNumber: 7877773227
Other Information
ProviderEnumerationDate: 05/24/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0208X12,680PRY Allopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases

No ID Information.


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