Individual
JUAN CARLO RODRIGUEZ ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 MEDICAL PKWY, STE 101, ANNAPOLIS, MD 21401-3742
(410) 295-8900
(443) 481-6515
Mailing address
2000 MEDICAL PKWY, STE 101, ANNAPOLIS, MD 21401-3742
(410) 295-8900
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2014-01086
NC
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D79294
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568778371
—
NC
05
—
NC2113
—
SC
Enumeration date
08/31/2010
Last updated
02/16/2017
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