Individual
DR. CARLOS FREDERICO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1735 E SKYLINE DR, TUCSON, AZ 85718-1162
(520) 618-1630
(520) 618-1636
Mailing address
1735 E SKYLINE DR, TUCSON, AZ 85718-1162
(520) 618-1630
(520) 618-1636
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036119039
IL
207N00000X
Dermatology Physician
42919
AZ
207ND0101X
MOHS-Micrographic Surgery Physician
036119039
IL
207ND0101X
MOHS-Micrographic Surgery Physician
42919
AZ
207ND0900X
Dermatopathology Physician
036119039
IL
207ND0900X
Dermatopathology Physician
Primary
42919
AZ
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
036119039
IL
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
42919
AZ
207NP0225X
Pediatric Dermatology Physician
036119039
IL
207NP0225X
Pediatric Dermatology Physician
42919
AZ
207NS0135X
Procedural Dermatology Physician
036119039
IL
207NS0135X
Procedural Dermatology Physician
42919
AZ
207ZD0900X
Dermatopathology (Pathology) Physician
42919
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
867831
—
AZ
01
—
9735166
AETNA
AZ
01
—
P01291608
RAILROAD MCR
AZ
Enumeration date
03/07/2008
Last updated
04/01/2026
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