Provider Demographics
NPI:1548390636
Name:RODRIGUEZ PICHARDO, OLGA
Entity Type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:
Last Name:RODRIGUEZ PICHARDO
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 1:5209 NW 74TH AVE
Mailing Address - Street 2:SUITE 209B
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4800
Mailing Address - Country:US
Mailing Address - Phone:305-716-7696
Mailing Address - Fax:305-716-7697
Practice Address - Street 1:5209 NW 74TH AVE
Practice Address - Street 2:SUITE 209B
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-4800
Practice Address - Country:US
Practice Address - Phone:305-716-7696
Practice Address - Fax:305-716-7697
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies