Provider Demographics
NPI:1184816423
Name:RODRIGUEZ, ALINA (MA)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 SW 104TH CT APT 307
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2695
Mailing Address - Country:US
Mailing Address - Phone:786-301-4503
Mailing Address - Fax:
Practice Address - Street 1:6501 NW 36TH ST STE 390
Practice Address - Street 2:
Practice Address - City:VIRGINIA GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33166-6963
Practice Address - Country:US
Practice Address - Phone:305-871-0920
Practice Address - Fax:305-871-0960
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 42645111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation