Individual
SOPHIA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1101 CAMINO DE SALUD NE, ALBUQUERQUE, NM 87102-4519
(505) 272-3053
Mailing address
1101 CAMINO DE SALUD NE, ALBUQUERQUE, NM 87102-4519
(505) 272-3053
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
MD2015-0585
NM
207ZF0201X
Forensic Pathology Physician
RS2014-0415
NM
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
263784-1
NY
Other
Enumeration date
10/15/2013
Last updated
10/26/2015
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