Individual
REYNALDO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3601 SPRINGHILL BUSINESS PARK, MOBILE, AL 36608-1256
(251) 873-6192
(251) 873-6193
Mailing address
480 HONEYSUCKLE RD, DOTHAN, AL 36305-1156
(334) 836-1212
(334) 836-1888
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
DO-510
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120906
—
MS
05
—
009928600
—
AL
05
—
009958940
—
AL
01
—
020031650
RAILORAD MEDICARE PTAN
GA
05
—
255684700
—
FL
01
—
29-10274
UNITED HEALTHCARE
AL
01
—
51028994
BCBS
AL
01
—
51096054
BCBS
AL
Enumeration date
06/02/2006
Last updated
03/17/2021
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