Individual
DR. JAVIER F RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7142 SAN PEDRO AVE, SAN ANTONIO, TX 78216-6254
(726) 268-7360
(877) 370-4369
Mailing address
6101 BLUE LAGOON DR STE 400, MIAMI, FL 33126-2051
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H8815
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00528J
MEDICARE PTAN
TX
05
—
1222465-01
—
TX
01
—
1457680464
GROUP NPI
TX
01
—
1780781187
RENDERING PROVIDER NPI
TX
Enumeration date
09/20/2006
Last updated
12/16/2021
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