Provider Demographics
NPI:1053200584
Name:RODRIGUEZ, ANNA GILDA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:GILDA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3303 W SAN LUIS CIR
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-8469
Mailing Address - Country:US
Mailing Address - Phone:956-897-1571
Mailing Address - Fax:
Practice Address - Street 1:3303 W SAN LUIS CIR
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78573-8469
Practice Address - Country:US
Practice Address - Phone:956-897-1571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX588551163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse