Provider Demographics
NPI:1396954889
Name:RODRIGUEZ-FALCHE, EDGARDO (MD)
Entity type:Individual
Prefix:DR
First Name:EDGARDO
Middle Name:
Last Name:RODRIGUEZ-FALCHE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 LIBERTY ST
Mailing Address - Street 2:STE 100
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01103-1109
Mailing Address - Country:US
Mailing Address - Phone:787-647-4737
Mailing Address - Fax:
Practice Address - Street 1:8803 VISTANA CENTRE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32821-6354
Practice Address - Country:US
Practice Address - Phone:413-349-5033
Practice Address - Fax:413-363-9123
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR158442084P0800X
MA2657602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty