Most Relevant Information
Provider Data
| NPI Number: | 1003373226 |
| Provider Name: | EDIRICARDO RODRIGUEZ ORTIZ MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/24/2019 |
| Last Updated: | 06/03/2024 |
Provider Practice Location
1400 PELHAM PKWY S
BRONX
NY
104611197
Practice Location Phone/Fax
| Phone: | 7189185000 |
| Fax: |
Provider Mailing Location
100 WOODS RD
VALHALLA
NY
105951530
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |