Individual
DR. HIRAM JOSE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4901
(757) 547-0688
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 822-4355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101262249
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902249048
—
VA
Enumeration date
04/08/2013
Last updated
07/21/2022
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