Individual
MR. LUIS A RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1314 GUADALUPE ST STE 107, SAN ANTONIO, TX 78207-5582
(210) 223-3543
(210) 924-1374
Mailing address
PO BOX 120427, SAN ANTONIO, TX 78212-0427
(210) 223-3543
(210) 227-0282
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J2905
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096319103
—
TX
Enumeration date
03/31/2006
Last updated
11/25/2024
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