Individual
MR. JORGE OSVALDO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RVT/RVS
Contact information
Practice address
10470 VISTA DEL SOL DR, STE 109, EL PASO, TX 79925-7928
(915) 629-0522
Mailing address
530 SIERRA ST, EL PASO, TX 79903-5216
(915) 820-4190
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030011
CCI REG ID
—
05
—
088028801
—
TX
01
—
38088
ARDMS REGISTRY #
—
Enumeration date
06/30/2005
Last updated
07/01/2008
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