Basic Information
| Provider Information | |||||||||
| NPI: | 1427072735 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RODRIGUEZ-ORTIZ | ||||||||
| FirstName: | PABLO | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | CIRUGIA TRAUMA RCM | ||||||||
| Address2: | PO BOX 29134 | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009290134 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877773760 | ||||||||
| FaxNumber: | 7877773781 | ||||||||
| Practice Location | |||||||||
| Address1: | CENTRO DE TRAUMA - ASEM | ||||||||
| Address2: | CENTRO MEDICO DE PR | ||||||||
| City: | RIO PIEDRAS | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00935 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877773760 | ||||||||
| FaxNumber: | 7877773781 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2006 | ||||||||
| LastUpdateDate: | 05/18/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 9076 | PR | N | Allopathic & Osteopathic Physicians | Surgery | 2086S0102X | 9076 | PR | Y | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care | 2086S0127X | 9076 | PR | N | Allopathic & Osteopathic Physicians | Surgery | Trauma Surgery |
No ID Information.