Provider Demographics
NPI:1609542638
Name:RODRIGUEZ ORTIZ, ALONDRA CRISTAL
Entity type:Individual
Prefix:
First Name:ALONDRA
Middle Name:CRISTAL
Last Name:RODRIGUEZ ORTIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. VILLAS DEL PRADO
Mailing Address - Street 2:#721 CALLE LAS OLAS
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795
Mailing Address - Country:US
Mailing Address - Phone:787-528-5751
Mailing Address - Fax:
Practice Address - Street 1:URB. VILLAS DEL PRADO
Practice Address - Street 2:#721 CALLE LAS OLAS
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795
Practice Address - Country:US
Practice Address - Phone:787-528-5751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer