Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | MA 42645 | FL |
NPI | 1184816423 |
---|---|
Provider Name | Alina Rodriguez |
First Address | Miami, FL 33174-2695 |
Second Address | Virginia Gardens, FL 33166-6963 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2007 |
Last Update Date | 10/08/2007 |