Individual
DR. LUIS C. RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 E SONTERRA BLVD, SUITE 200, SAN ANTONIO, TX 78258-3987
(210) 593-5700
(210) 593-5992
Mailing address
155 E SONTERRA BLVD, SUITE 200, SAN ANTONIO, TX 78258-3987
(210) 593-5700
(210) 593-5992
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
L6161
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158693502
—
TX
01
—
7654274
AETNA PIN #
—
01
—
8C8215
MEDICARE PTAN
TX
Enumeration date
07/10/2006
Last updated
09/01/2015
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