| NPI | 1538682844 | 
|---|---|
| Professional Name | JOSE G RODRIGUEZ L | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN22925) | 
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN22925) | 
| Enumeration Date | 2017-07-18 | 
| Last Update Date | 2017-07-20 |