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NPI Code Detail

MEDICARE: ROSA RAQUEL HUIVIN RODRIGUEZ

MEDICARE:   ROSA RAQUEL HUIVIN RODRIGUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry14662CT

General Provider Information

NPI Number : 1174133656
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSA RAQUEL HUIVIN RODRIGUEZ
Provider Business Mailing Address
First Line : 21 GAIL RD
Second Line :
City : FARMINGTON
State : CT
Zip : 06032-2407
Country : US
Telephone Number : 860-816-6183
Fax Number :
Provider Business Practice Location Address
First Line : 263 FARMINGTON AVE
Second Line :
City : FARMINGTON
State : CT
Zip : 06030-0001
Country : US
Telephone Number : 860-679-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2020
Last Update Date : 02/16/2026

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Directions to “ ROSA RAQUEL HUIVIN RODRIGUEZ ” Practice Location

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