Individual
RAUL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 OPITZ BLVD, WOODBRIDGE, VA 22191-3311
(703) 670-1313
(800) 536-8431
Mailing address
PO BOX 75567, BALTIMORE, MD 21275-5567
(888) 898-3291
(800) 536-8431
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101031389
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
BCBS
VA
05
—
5834813
—
VA
01
—
930109438
RAILROAD MEDICARE
VA
Enumeration date
05/16/2006
Last updated
06/03/2008
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