Individual
CARLOS G. RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
965 PLATTE RIVER BLVD UNIT O, BRIGHTON, CO 80601-4353
(303) 655-9866
(303) 655-9869
Mailing address
9626 E 147TH PL, BRIGHTON, CO 80602-5758
(303) 875-6072
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36368
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54634369
—
CO
01
—
ROC64734
BLUE CROSS BLUE SHIELD
CO
Enumeration date
05/03/2007
Last updated
07/08/2007
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