| Alexis L Rodriguez, MD | |
|
130 Division St, Derby, CT 06418-1326 | |
| (203) 732-7252 | |
| (203) 732-1539 |
| Full Name | Alexis L Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 130 Division St, Derby, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316264617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 052111 (Connecticut) | Primary |
| Entity Name | Yale University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
| Entity Name | Middlesex Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851350664 PECOS PAC ID: 5092611731 Enrollment ID: O20031216000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis L Rodriguez, MD 67 Maple Ave, Derby, CT 06418-1328 Ph: () - | Alexis L Rodriguez, MD 130 Division St, Derby, CT 06418-1326 Ph: (203) 732-7252 |
Mr. Joseph Berlenbach, P.A. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332 | |
Dr. Robert Nelson Hyde Iii, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 111 New Haven Ave, Derby, CT 06418 Phone: 203-736-9214 Fax: 203-736-9172 | |
Ottilie T Rose, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 78 Pershing Dr, Derby, CT 06418 Phone: 203-709-8873 Fax: 203-709-8689 |