Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 19023 | PR |
Y | 2080P0203X | Pediatric Critical Care Doctor | 57863 | AZ |
NPI | 1134476641 |
---|---|
Provider Name | Dr. Claudia Margarita Ocasio-Rodriguez |
First Address | Phoenix, AZ 85018-2327 |
Second Address | Phoenix, AZ 85016-7710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2012 |
Last Update Date | 21/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
505397 | (05) | AZ |