Individual
MICHAEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2002 SAN BERNARDO AVE, LAREDO, TX 78040-3142
(956) 225-4047
(956) 272-9374
Mailing address
2002 SAN BERNARDO AVE, LAREDO, TX 78040-3142
(956) 225-4047
(956) 273-7394
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE, RESTORATIVE SERVICE PROVIDERS
—
Enumeration date
08/02/2017
Last updated
08/02/2017
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