Individual
ALEJANDRO REMIGIO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
(336) 716-4131
(336) 713-0328
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-0238
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2022-02631
NC
208800000X
Urology Physician
275241
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003688700
—
FL
01
—
14F1A
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/13/2007
Last updated
03/02/2023
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