Provider Demographics
NPI:1528717915
Name:ALTERIO, RODRIGO EDUARDO (MD)
Entity type:Individual
Prefix:DR
First Name:RODRIGO
Middle Name:EDUARDO
Last Name:ALTERIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 THROCKMORTON ST APT 1182
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-3399
Mailing Address - Country:US
Mailing Address - Phone:305-303-7927
Mailing Address - Fax:
Practice Address - Street 1:2626 THROCKMORTON ST APT 1182
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-3399
Practice Address - Country:US
Practice Address - Phone:305-303-7927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1477807436390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program