Provider Demographics
NPI:1447427851
Name:RORDRIGUEZ & RODRIGUEZ, PA
Entity Type:Organization
Organization Name:RORDRIGUEZ & RODRIGUEZ, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:9563-580-2300
Mailing Address - Street 1:PO BOX 5326
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78523-5326
Mailing Address - Country:US
Mailing Address - Phone:956-350-2300
Mailing Address - Fax:956-350-2622
Practice Address - Street 1:4970 N EXPRESSWAY # 77/83
Practice Address - Street 2:SUITE A
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-4268
Practice Address - Country:US
Practice Address - Phone:956-350-2300
Practice Address - Fax:956-350-2622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXCG6439OtherMEDICARE RAILROAD