Provider Demographics
NPI:1285429753
Name:ROSARIO RODRIGUEZ, KRISTIAN (DC)
Entity type:Individual
Prefix:
First Name:KRISTIAN
Middle Name:
Last Name:ROSARIO RODRIGUEZ
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 N QUINN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22209-1113
Mailing Address - Country:US
Mailing Address - Phone:386-795-1435
Mailing Address - Fax:
Practice Address - Street 1:932 N HIGHLAND ST # A
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-2144
Practice Address - Country:US
Practice Address - Phone:571-348-1541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104558069111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor