Provider Demographics
NPI:1104271527
Name:RODRIGUEZ, KAYRA G I (NURSE)
Entity type:Individual
Prefix:
First Name:KAYRA
Middle Name:G
Last Name:RODRIGUEZ
Suffix:I
Gender:F
Credentials:NURSE
Other - Prefix:MRS
Other - First Name:KAYRA
Other - Middle Name:G
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NURSE
Mailing Address - Street 1:114 CALLE OVIEDO
Mailing Address - Street 2:CIUDAD JARDIN DE BAIROA
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-1345
Mailing Address - Country:US
Mailing Address - Phone:787-210-7463
Mailing Address - Fax:
Practice Address - Street 1:114 CALLE OVIEDO
Practice Address - Street 2:CIUDAD JARDIN DE BAIROA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727
Practice Address - Country:US
Practice Address - Phone:787-210-7463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR32788164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse