Individual
RICARDO J RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
(216) 286-6341
Mailing address
3605 WARRENSVILLE CENTER RD, SHAKER HTS, OH 44122-5203
(216) 286-6299
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-061321
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221350
UNISON
OH
01
—
000000526119
ANTHEM
OH
01
—
1048964
AETNA
OH
01
—
2000417
BCMH
OH
05
—
2000417
—
OH
01
—
363961
WELLCARE
OH
01
—
745963
BUCKEYE
OH
Enumeration date
08/30/2006
Last updated
05/23/2008
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