1275957862 NPI number — DR. EDWIN F. RODRIGUEZ ALLENDE,CSP

Table of content: (NPI 1275957862)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275957862 NPI number — DR. EDWIN F. RODRIGUEZ ALLENDE,CSP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. EDWIN F. RODRIGUEZ ALLENDE,CSP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275957862
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/18/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1450
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AIBONITO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00705-1450
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-735-1830
Provider Business Mailing Address Fax Number:
787-735-1890

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
202 CALLE JULIO CINTRON
Provider Second Line Business Practice Location Address:
EDIFICIO GUAYACAN, OF. 107
Provider Business Practice Location Address City Name:
AIBONITO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00705-1450
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-735-1830
Provider Business Practice Location Address Fax Number:
787-735-1890
Provider Enumeration Date:
02/18/2014

Additional Information

Authorized Official

Authorized Official Last Name:
RODRIGUEZ
Authorized Official First Name:
EDWIN
Authorized Official Middle Name:
F.
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
787-462-7559

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  11105 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com