Individual
DIANA PATRICIA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
711B SEAGIRT AVE, FAR ROCKAWAY, NY 11691-5730
(718) 395-3176
Mailing address
7720 W SAHARA AVE, STE 103, LAS VEGAS, NV 89117-2754
(702) 228-9888
(866) 920-0799
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012536-01
NY
363A00000X
Physician Assistant
Primary
PA1119
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA1119
NV PA LICENSE
NV
Enumeration date
08/29/2008
Last updated
08/06/2026
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