Provider Demographics
NPI:1528891330
Name:SOTOMAYOR RODRIGUEZ, CRISTINA (APRN, CNP)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:SOTOMAYOR RODRIGUEZ
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7601 CHURCHILL WAY APT 1015
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-1935
Mailing Address - Country:US
Mailing Address - Phone:954-913-8402
Mailing Address - Fax:
Practice Address - Street 1:12201 MERIT DR STE 180
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-3124
Practice Address - Country:US
Practice Address - Phone:972-385-9700
Practice Address - Fax:972-385-9790
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1048975363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily