Ricardo Andres Rodriguez, DPM
Student in an Organized Health Care Education/Training Program in Brooklyn, NY. Individual provider (NPI-1).
NPI number1114778024
StatusActive
Last updated in NPPESMar 28, 2024
Details
- NPI
- 1114778024
- Entity type
- Individual (NPI-1)
- Name
- Ricardo Andres Rodriguez
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2024
- Certification date
- Mar 28, 2024
- Last updated
- Mar 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
374 Stockholm StBrooklyn, NY 11237-4006
Phone 718-963-7332
Mailing address
374 Stockholm StBrooklyn, NY 11237-4006
Phone 718-963-7332
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