Provider Demographics
NPI:1588862270
Name:RODRIGUEZ, MARIA ALEXANDRA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ALEXANDRA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3411 CHESTNUT ST
Mailing Address - Street 2:APT 219
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-5510
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:111 S 11TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107
Practice Address - Country:US
Practice Address - Phone:215-995-6610
Practice Address - Fax:215-503-4053
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2011-10-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMT191190282N00000X
NY262222207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No282N00000XHospitalsGeneral Acute Care Hospital