Provider Demographics
NPI:1831655638
Name:RODRIGUEZ AGUILA, ALINA (DDS)
Entity type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:RODRIGUEZ AGUILA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11330 SW 5TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-1166
Mailing Address - Country:US
Mailing Address - Phone:754-246-9534
Mailing Address - Fax:
Practice Address - Street 1:8504 NW 103RD ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-4870
Practice Address - Country:US
Practice Address - Phone:305-680-8686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-16
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN25900122300000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program