Provider Demographics
NPI:1346353190
Name:RODRIGUEZ, ORLANDO E (MD)
Entity Type:Individual
Prefix:
First Name:ORLANDO
Middle Name:E
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9050 N CHURCH DR
Mailing Address - Street 2:
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-4701
Mailing Address - Country:US
Mailing Address - Phone:440-882-6922
Mailing Address - Fax:440-292-0225
Practice Address - Street 1:9050 N CHURCH DR
Practice Address - Street 2:
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-4701
Practice Address - Country:US
Practice Address - Phone:440-882-6922
Practice Address - Fax:440-292-0225
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35058250207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0757506Medicaid
OH0757506Medicaid
OHH038961Medicare PIN
OHR00660209Medicare ID - Type Unspecified