Individual
MR. JULIO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 ENCINO PL NE, ALBUQUERQUE, NM 87102-2612
(505) 272-2573
Mailing address
1201 3RD ST NW, ALBUQUERQUE, NM 87102-1403
(505) 764-8231
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
09/14/2009
Last updated
11/19/2021
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