Provider Demographics
NPI:1043289408
Name:RODRIGUEZ-OSPINA, LUIS F
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:F
Last Name:RODRIGUEZ-OSPINA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 CALLE CARAZO
Mailing Address - Street 2:CLINICA CARDIOVASCULAR DE GUAYNABO
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5635
Mailing Address - Country:US
Mailing Address - Phone:787-720-6376
Mailing Address - Fax:
Practice Address - Street 1:42 CALLE CARAZO
Practice Address - Street 2:CLINICA CARDIOVASCULAR DE GUAYNABO
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-5635
Practice Address - Country:US
Practice Address - Phone:787-720-6376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-16
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11948207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
H27376Medicare UPIN