Provider Demographics
NPI:1629263074
Name:RODRIGUEZ CALZADA, VASCO ALEJANDRO (DC)
Entity Type:Individual
Prefix:DR
First Name:VASCO
Middle Name:ALEJANDRO
Last Name:RODRIGUEZ CALZADA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11940 FIORE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-7148
Mailing Address - Country:US
Mailing Address - Phone:407-583-7130
Mailing Address - Fax:
Practice Address - Street 1:11940 FIORE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-7148
Practice Address - Country:US
Practice Address - Phone:407-583-7130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6984111N00000X
PR299111N00000X
KY5400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor