Provider Demographics
NPI:1508520339
Name:RODRIGUEZ, MARIA D (CNA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:D
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5125
Mailing Address - Street 2:
Mailing Address - City:KINGSHILL
Mailing Address - State:VI
Mailing Address - Zip Code:00851-5125
Mailing Address - Country:US
Mailing Address - Phone:340-201-0229
Mailing Address - Fax:
Practice Address - Street 1:3000 LOUIS BROWN
Practice Address - Street 2:BLDG 16 APT 204 ST. CROIX
Practice Address - City:FREDRICKESTED
Practice Address - State:VI
Practice Address - Zip Code:00840
Practice Address - Country:US
Practice Address - Phone:340-201-0229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health