Provider Demographics
NPI:1508564113
Name:RODRIGUEZ, FRANCISCA ANA
Entity Type:Individual
Prefix:
First Name:FRANCISCA
Middle Name:ANA
Last Name:RODRIGUEZ
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 1:10103 BALTIMORE AVE APT 2302
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-4227
Mailing Address - Country:US
Mailing Address - Phone:631-507-0762
Mailing Address - Fax:
Practice Address - Street 1:10103 BALTIMORE AVE APT 2302
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-4227
Practice Address - Country:US
Practice Address - Phone:631-507-0762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator