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Individual

DR. JUAN F. RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4970 N EXPRESSWAY, SUITE A, BROWNSVILLE, TX 78526-4268
(956) 350-2300
(956) 350-2622
Mailing address
4970 N EXPRESSWAY # 7783, SUITE A, BROWNSVILLE, TX 78526-4268
(956) 350-2500
(956) 350-9800

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D7783
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00T244
BLUE CROSS BLUE SHIELD
TX
01
062900248
MEDICARE RAIL ROAD
TX
05
120452101
TX
Enumeration date
03/27/2006
Last updated
02/13/2009
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