Individual
ENRIQUE RODRIGUEZ
Active
Individual
ENRIQUE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J4998
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122713113
FIRSTCARE
TX
05
—
163273901
—
TX
01
—
8V8340
BLUE CROSS BLUE SHIELD
TX
01
—
P00073756
RR MEDICARE
TX
Enumeration date
07/05/2006
Last updated
05/14/2008
Update your record
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