Provider Demographics
NPI:1578971149
Name:CABASA, ALDUZ INRI SURIO (MD)
Entity Type:Individual
Prefix:DR
First Name:ALDUZ INRI
Middle Name:SURIO
Last Name:CABASA
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 1:609 1ST STREET SW
Mailing Address - Street 2:UNIT 102
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902
Mailing Address - Country:US
Mailing Address - Phone:507-993-7323
Mailing Address - Fax:
Practice Address - Street 1:609 1ST STREET SW
Practice Address - Street 2:UNIT 102
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902
Practice Address - Country:US
Practice Address - Phone:507-993-7323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-28
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program