Provider Demographics
NPI:1962607978
Name:RODRIGUEZ, RICHIE-ANN SORIANO (MD)
Entity type:Individual
Prefix:DR
First Name:RICHIE-ANN
Middle Name:SORIANO
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:RICHIE-ANN
Other - Middle Name:SORIANO
Other - Last Name:GALINATO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3111 FREELAND ST
Mailing Address - Street 2:APARTMENT #5
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15132-1833
Mailing Address - Country:US
Mailing Address - Phone:412-678-0153
Mailing Address - Fax:
Practice Address - Street 1:402 WEST LAKE STREET
Practice Address - Street 2:
Practice Address - City:FRIENDSHIP
Practice Address - State:WI
Practice Address - Zip Code:53934
Practice Address - Country:US
Practice Address - Phone:608-339-3331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI50313-020207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine