Provider Demographics
NPI:1659356848
Name:RODRIGUEZ, ZORAIDA (MT, ASCP)
Entity Type:Individual
Prefix:MRS
First Name:ZORAIDA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MT, ASCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:H12 CALLE AA
Mailing Address - Street 2:CIUDAD UNIV
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-3119
Mailing Address - Country:US
Mailing Address - Phone:787-755-2697
Mailing Address - Fax:787-761-1850
Practice Address - Street 1:H12 CALLE AA
Practice Address - Street 2:CIUDAD UNIV
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-3119
Practice Address - Country:US
Practice Address - Phone:787-755-2697
Practice Address - Fax:787-761-1850
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR246QM0706X246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRX54891Medicare UPIN