Provider Demographics
NPI:1902976186
Name:RODRIGUEZ, HUBERT ALFREDO (MD)
Entity type:Individual
Prefix:
First Name:HUBERT
Middle Name:ALFREDO
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1090 9TH AVE SW
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-4530
Mailing Address - Country:US
Mailing Address - Phone:205-481-1886
Mailing Address - Fax:205-481-9034
Practice Address - Street 1:1090 9TH AVE SW
Practice Address - Street 2:SUITE 100
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-4530
Practice Address - Country:US
Practice Address - Phone:205-481-1886
Practice Address - Fax:205-481-9034
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7220208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-05687OtherBLUE CROSS
AL510-05687OtherBLUE CROSS