Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 081872 | GA |
N | 207X00000X | Orthopaedic Surgeon | 11568 | PR |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 00021612 | AL |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 11568 | PR |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 00021612 | AL |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 11568 | PR |
NPI | 1578618294 |
---|---|
Provider Name | Felix Alberto Rodriguez Del-Rio |
First Address | Atlanta, GA 30339-3087 |
Second Address | Atlanta, GA 30309-1734 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 09/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G81756 | (02) | PR |