Provider Demographics
NPI:1619124021
Name:RODRIGUES, JOSE FILIPE PEREIRA (COTA)
Entity Type:Individual
Prefix:MR
First Name:JOSE FILIPE
Middle Name:PEREIRA
Last Name:RODRIGUES
Suffix:
Gender:M
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1144 N MAIN ST # 2ND
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-2726
Mailing Address - Country:US
Mailing Address - Phone:508-675-9892
Mailing Address - Fax:
Practice Address - Street 1:1144 N MAIN ST # 2ND
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-2726
Practice Address - Country:US
Practice Address - Phone:508-675-9892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA146796224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA146796OtherCOTA