Individual provider · Type 1 NPI

Wilton Ivan Rodriguez, MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1003064510 Active

Practice location

144 W 12th St
New York, NY 10011-8202

Call (212) 604-7778 Map

Mailing address

234 10th St Apt 510
Jersey City, NJ 07302-1431

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003064510

Wilton Ivan Rodriguez, MD's National Provider Identifier is 1003064510, issued on Sep 9, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Sep 9, 2008.