GLOTI MARITA RODRIGUEZ MD NPI 1821000555

NPI Information

NPI: 1821000555
Provider Name: GLOTI MARITA RODRIGUEZ, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 49D0931929

Address:
5278 DAWES AVENUE
ALEXANDRIA, VA
ZIP 22311
Phone: (703) 671-3185
Get Directions

Gloti Marita Rodriguez, MD is a pediatrics in Alexandria, VA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Gloti Marita Rodriguez, MD NPI is 1821000555. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5278 DAWES AVENUE
ALEXANDRIA, VA
ZIP 22311-404
Phone: (703) 671-3185
Fax: (703) 671-9285

The CLIA number assigned to this NPI record is 49D0931929 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 9/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		0101054609	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	006732551	MEDICAID	VIRGINIA
2	G60556	MEDICARE UPIN
3	283317	OTHER	VIRGINIA	AMERIGROUP MEDICAID
4	234981	OTHER	VIRGINIA	HEALTH KEEPERS PLUS MEDIC
5	GL002570	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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