Provider Demographics
NPI:1023331881
Name:RODRIGUEZ, RITA M (MBA)
Entity type:Individual
Prefix:MRS
First Name:RITA
Middle Name:M
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 13362
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-9730
Mailing Address - Country:US
Mailing Address - Phone:787-803-3164
Mailing Address - Fax:
Practice Address - Street 1:HC 1 BOX 13362
Practice Address - Street 2:
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769-9730
Practice Address - Country:US
Practice Address - Phone:787-803-3164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor