Provider Demographics
NPI:1205866951
Name:RODRIGUEZ-CORREA, ALINA (DC)
Entity Type:Individual
Prefix:DR
First Name:ALINA
Middle Name:
Last Name:RODRIGUEZ-CORREA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ALINA
Other - Middle Name:
Other - Last Name:RODRIGUEZ-CORREA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:850 N MAIN STREET EXT
Mailing Address - Street 2:BUILDING #2,SUITE 3A
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-2400
Mailing Address - Country:US
Mailing Address - Phone:203-627-1828
Mailing Address - Fax:203-271-3814
Practice Address - Street 1:850 N MAIN STREET EXT
Practice Address - Street 2:BUILDIING #2 SUITE3A
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-2400
Practice Address - Country:US
Practice Address - Phone:203-627-1828
Practice Address - Fax:203-271-3814
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000902111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT11-3670305OtherHMC/FOCUS CONCENTRA
CTP3131503OtherOXFORD HEALTH PLAN
CT11-3670305OtherTRAVELERS
CT11-3670305OtherAMERICAN SPECIALTY HEALTH
CT11-3670305OtherBERKLEY ADMIN. OF CT,INC.
CO11-3670305OtherCORVEL
CT662401OtherUNITED HEALTHCARE
CT763938OtherFIRST HEALTH/CCN
CO050000902CT10OtherANTHEM BS
CT11-3670305OtherBERKLEY ADMIN. OF CT,INC.