Individual
ANGEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
11295
MS
207L00000X
Anesthesiology Physician
Primary
11295
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015456
—
MS
Enumeration date
11/09/2005
Last updated
11/28/2017
Update your record
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