Rodriguez Alfonso, Juan Carlo
Rodriguez Alfonso, Juan Carlo is an individual health care provider with primary practice located at 2000 Medical Pkwy Ste 101, Annapolis MD 21401-3742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Rodriguez Alfonso, Juan Carlo can be contacted via phone (410) 295-8900.Contact Information
Primary practice address
2000 Medical Pkwy Ste 101
Annapolis MD 21401-3742
Phone: (410) 295-8900
Fax: (443) 481-6515
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 2014-01086 | North Carolina |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | D79294 | Maryland |
Profile Details
NPI number | 1568778371 |
---|---|
LBN Legal business name | Rodriguez Alfonso, Juan Carlo |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2010 |
Last updated | Feb 16th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568778371 | NPPES |
South Carolina | MEDICAID | NC2113 | |
South Carolina | MEDICAID | 1568778371 |
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