Jairo Alfonso Rodriguez Cardenas
General Practice Physician
8136 Baxter Ave #2f
Elmhurst
, New York 11373-1382
Jairo Alfonso Rodriguez Cardenas
General Practice Physician
8136 Baxter Ave #2f
Elmhurst
, New York 11373-1382
(718) 229-5717
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Jairo Alfonso Rodriguez Cardenas
- 8136 Baxter Ave Ste 2f
- Elmhurst, NY
- Zip : 11373-1382
- Fax : (718) 229-5717
- Phone : (718) 507-1717
Second Address
- Jairo Alfonso Rodriguez Cardenas
- 8136 Baxter Ave #2f
- Elmhurst, NY
- Zip : 11373-1382
- Fax : (718) 229-5717
- Phone : (718) 507-1717
Reviews
FAQs
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Is Jairo Alfonso Rodriguez Cardenas a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 140823 | NY |
National Provider Identifier
| NPI | 1013904770 |
|---|---|
| Provider Name | Jairo Alfonso Rodriguez Cardenas |
| First Address | Elmhurst, NY 11373-1382 |
| Second Address | Elmhurst, NY 11373-1382 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2005 |
| Last Update Date | 09/12/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E14128 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.