Healthcare Provider Details

I. General information

NPI: 1225599913
Provider Name (Legal Business Name): ALIYA CECILIA ROGINIEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 CHERRY ST
MILFORD CT
06460-3538
US

IV. Provider business mailing address

202 CHERRY ST
MILFORD CT
06460-3538
US

V. Phone/Fax

Practice location:
  • Phone: 203-415-4922
  • Fax: 888-539-8781
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA187768
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: