Provider Demographics
NPI:1700052099
Name:RODRIGUEZ, ALEXANDER R H (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:R H
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3507 BAYSHORE BLVD
Mailing Address - Street 2:# 403
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-8969
Mailing Address - Country:US
Mailing Address - Phone:813-865-5082
Mailing Address - Fax:813-283-3091
Practice Address - Street 1:3507 BAYSHORE BLVD
Practice Address - Street 2:# 403
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-8969
Practice Address - Country:US
Practice Address - Phone:813-865-5082
Practice Address - Fax:813-283-3091
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 322212084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry