Basic Information
| Provider Information | |||||||||
| NPI: | 1316141534 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALCEDO | ||||||||
| FirstName: | RODOLFO | ||||||||
| MiddleName: | ELIAS | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 75 FRANCIS STREET | ||||||||
| Address2: | NEUROLOGICAL SURGERY RESIDENCY TRAINING PROGRAM | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02115 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6177328719 | ||||||||
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| Practice Location | |||||||||
| Address1: | CAMELOT CONDOMINIUM NUMBER 140 STREET 842 | ||||||||
| Address2: | APARTMENT 3103 | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00926 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877773535 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2007 | ||||||||
| LastUpdateDate: | 09/30/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | 88E | PR | Y | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.