MEDICARE: KRISTIAN ROSARIO RODRIGUEZ DC

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
1	111N00000X	Chiropractor	0104558069	VA

General Provider Information

NPI Number	:	1285429753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIAN ROSARIO RODRIGUEZ DC

Provider Business Mailing Address
First Line	:	2020 N QUINN ST APT 1
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22209-1113
Country	:	US
Telephone Number	:	386-795-1435
Fax Number	:

Provider Business Practice Location Address
First Line	:	932 N HIGHLAND ST # A
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-2144
Country	:	US
Telephone Number	:	571-348-1541
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2025
Last Update Date	:	04/14/2025

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Directions to “ KRISTIAN ROSARIO RODRIGUEZ DC” Practice Location

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