Rodriguez Gonzalez, Agustin Antonio

Rodriguez Gonzalez, Agustin Antonio is an sole proprietor health care provider with primary practice located at 1056 Ave Munoz Rivera Firstbank, Suite 403, Rio Piedras PR 00927-5015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Rodriguez Gonzalez, Agustin Antonio can be contacted via phone (787) 765-1630.

Contact Information

Primary practice address
1056 Ave Munoz Rivera Firstbank, Suite 403 Rio Piedras PR 00927-5015
Phone: (787) 765-1630
Fax: (787) 756-6957
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 11986 Puerto Rico

Profile Details

NPI number 1205801297
LBN Legal business name Rodriguez Gonzalez, Agustin Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2006
Last updated Jul 21st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205801297 NPPES
Puerto Rico Other 0088623 MEDICARE PTAN

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