Provider Demographics
NPI:1609488006
Name:PEREIRA RODRIGUEZ, ANDREA PAOLA (MD)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:PAOLA
Last Name:PEREIRA RODRIGUEZ
Suffix:
Gender:F
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:SABANERA DEL RIO #39
Mailing Address - Street 2:CAMINO DE LAS AZUCENAS
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778
Mailing Address - Country:US
Mailing Address - Phone:787-208-1355
Mailing Address - Fax:
Practice Address - Street 1:SABANERA DEL RIO #39
Practice Address - Street 2:CAMINO DE LAS AZUCENAS
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778
Practice Address - Country:US
Practice Address - Phone:787-208-1355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-18
Last Update Date:2022-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR36213-R207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology