Provider Demographics
NPI:1821666892
Name:RODRIGO-MILLER, ALICIA ROSA (RDN)
Entity Type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:ROSA
Last Name:RODRIGO-MILLER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 HEDGEFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:PRATTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36066-1102
Mailing Address - Country:US
Mailing Address - Phone:323-646-2098
Mailing Address - Fax:
Practice Address - Street 1:707 HEDGEFIELD WAY
Practice Address - Street 2:
Practice Address - City:PRATTVILLE
Practice Address - State:AL
Practice Address - Zip Code:36066-1102
Practice Address - Country:US
Practice Address - Phone:323-646-2098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered