Provider Demographics
NPI:1942464151
Name:ALFARO, RODRIGO J (MD)
Entity Type:Individual
Prefix:
First Name:RODRIGO
Middle Name:J
Last Name:ALFARO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1566 LOMALAND DRIVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-4202
Mailing Address - Country:US
Mailing Address - Phone:915-544-7767
Mailing Address - Fax:915-532-6938
Practice Address - Street 1:1566 LOMALAND DRIVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-4202
Practice Address - Country:US
Practice Address - Phone:915-544-7767
Practice Address - Fax:915-532-6938
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2023-05-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY44352207R00000X
TXBP10031809207R00000X
WAMD60353449207RN0300X
TXR9175207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine