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
Fax: (443) 481-6515
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568778371 NPPES
South Carolina MEDICAID NC2113
South Carolina MEDICAID 1568778371

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