Provider Demographics
NPI:1528540374
Name:RODRIGUEZ PEREZ, ALEXANDRA E (MEDICAL DOCTOR (MD))
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:E
Last Name:RODRIGUEZ PEREZ
Suffix:
Gender:F
Credentials:MEDICAL DOCTOR (MD)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 2 BOX 6627 SECTOR LA LINEA
Mailing Address - Street 2:
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687
Mailing Address - Country:US
Mailing Address - Phone:787-466-0091
Mailing Address - Fax:
Practice Address - Street 1:CARR 155 KM 57.2 BO FRANQUEZ
Practice Address - Street 2:
Practice Address - City:MOROVIS
Practice Address - State:PR
Practice Address - Zip Code:00687-0068
Practice Address - Country:US
Practice Address - Phone:787-466-0091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-29
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23413207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine