Provider Demographics
NPI:1346597127
Name:RODRIGUEZ ALMODOVAR, ZAIRA I
Entity Type:Individual
Prefix:MRS
First Name:ZAIRA
Middle Name:I
Last Name:RODRIGUEZ ALMODOVAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PASEO CIPRES 3124
Mailing Address - Street 2:LEVITTOWN
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949
Mailing Address - Country:US
Mailing Address - Phone:787-547-4606
Mailing Address - Fax:
Practice Address - Street 1:408 CAMINO DE LOS JOBANES
Practice Address - Street 2:SABANERA DORADO
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-3633
Practice Address - Country:US
Practice Address - Phone:787-547-4606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-10
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11352081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine