Provider Demographics
NPI:1467594150
Name:RODRIGUEZ, LEOPOLDO E (MD)
Entity Type:Individual
Prefix:
First Name:LEOPOLDO
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 1:1428 28TH ST S APT 1
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-3189
Mailing Address - Country:US
Mailing Address - Phone:703-683-2062
Mailing Address - Fax:703-683-2062
Practice Address - Street 1:1428 28TH ST S APT 1
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-3189
Practice Address - Country:US
Practice Address - Phone:703-683-2062
Practice Address - Fax:703-683-2062
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA163W00000X, 163WH0200X, 163WH1000X, 163WR0006X, 251E00000X, 372600000X, 3747P1801X, 374U00000X, 376J00000X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WH0200XNursing Service ProvidersRegistered NurseHome Health
Not Answered163WH1000XNursing Service ProvidersRegistered NurseHospice
Not Answered163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Not Answered251E00000XAgenciesHome Health
Not Answered372600000XNursing Service Related ProvidersAdult Companion
Not Answered3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
Not Answered374U00000XNursing Service Related ProvidersHome Health Aide
Not Answered376J00000XNursing Service Related ProvidersHomemaker
Not Answered376K00000XNursing Service Related ProvidersNurse's Aide