Provider Demographics
NPI:1861992679
Name:RODRIGUEZ MARTINEZ, ANA CRISTINA (BA)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:CRISTINA
Last Name:RODRIGUEZ MARTINEZ
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:CRISTINA
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:28055 HARVEY AVE
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-5707
Mailing Address - Country:US
Mailing Address - Phone:510-552-8863
Mailing Address - Fax:
Practice Address - Street 1:5776 STONERIDGE MALL RD STE 340
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-4514
Practice Address - Country:US
Practice Address - Phone:925-223-8047
Practice Address - Fax:925-223-8048
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-19
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty