Provider Demographics
NPI:1801218342
Name:RODRIGUEZ ALVAREZ, MILANGIE
Entity Type:Individual
Prefix:
First Name:MILANGIE
Middle Name:
Last Name:RODRIGUEZ ALVAREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55B CALLE ANDRES GARCIA
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-4392
Mailing Address - Country:US
Mailing Address - Phone:787-342-4336
Mailing Address - Fax:
Practice Address - Street 1:55B CALLE ANDRES GARCIA
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-4392
Practice Address - Country:US
Practice Address - Phone:787-342-4336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-17
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2061235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist