Individual
JAIRO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
893 S SAM HOUSTON BLVD, STE B, SAN BENITO, TX 78586-3062
(956) 626-2500
(956) 626-2503
Mailing address
PO BOX 532201, HARLINGEN, TX 78553-2201
(956) 428-7862
(956) 440-0395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
K8460
TX
207RP1001X
Pulmonary Disease Physician
Primary
K8460
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030837101
—
TX
05
—
030837102
—
TX
05
—
030837104
—
TX
01
—
8A9370
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/13/2006
Last updated
06/25/2024
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