Individual
REYNALDO RODRIGUEZ
Active
Individual
REYNALDO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
DO-510
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120906
—
MS
05
—
009928600
—
AL
05
—
009958940
—
AL
01
—
020031650
RAILORAD MEDICARE PTAN
GA
05
—
255684700
—
FL
01
—
29-10274
UNITED HEALTHCARE
AL
01
—
51028994
BCBS
AL
01
—
51096054
BCBS
AL
Enumeration date
06/02/2006
Last updated
03/17/2021
Update your record
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