Provider Demographics
NPI:1467935965
Name:MARCO RODRIGUEZ MD LLC
Entity Type:Organization
Organization Name:MARCO RODRIGUEZ MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-313-4700
Mailing Address - Street 1:PO BOX 85007
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70884-5007
Mailing Address - Country:US
Mailing Address - Phone:225-313-4700
Mailing Address - Fax:
Practice Address - Street 1:606 COLONIAL DR STE A
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-6535
Practice Address - Country:US
Practice Address - Phone:225-313-4700
Practice Address - Fax:225-313-3656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty