Provider Demographics
NPI:1326360983
Name:CEDENO RODRIGUEZ, ALEX J (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:J
Last Name:CEDENO RODRIGUEZ
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:BDA. GUAYDIA CALLE JUAN ARZOLA 110
Mailing Address - Street 2:
Mailing Address - City:GUAYANILLA
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00656
Mailing Address - Country:UM
Mailing Address - Phone:787-835-6709
Mailing Address - Fax:
Practice Address - Street 1:BDA GUAYDIA CALLE JUAN ARZOLA 110
Practice Address - Street 2:
Practice Address - City:GUAYANILLA
Practice Address - State:PR
Practice Address - Zip Code:00656-0000
Practice Address - Country:US
Practice Address - Phone:787-835-6709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-24
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17828208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice