MEDICARE: MRS. ZAIRA I RODRIGUEZ ALMODOVAR

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	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	1135	PR

General Provider Information

NPI Number	:	1346597127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ZAIRA I RODRIGUEZ ALMODOVAR

Provider Business Mailing Address
First Line	:	PASEO CIPRES 3124
Second Line	:	LEVITTOWN
City	:	TOA BAJA
State	:	PR
Zip	:	00949
Country	:	US
Telephone Number	:	787-547-4606
Fax Number	:

Provider Business Practice Location Address
First Line	:	408 CAMINO DE LOS JOBANES
Second Line	:	SABANERA DORADO
City	:	DORADO
State	:	PR
Zip	:	00646-3633
Country	:	US
Telephone Number	:	787-547-4606
Fax Number	:

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

Provider Enumeration Date	:	08/10/2012
Last Update Date	:	10/25/2018

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