Provider Demographics
NPI:1518746148
Name:RODRIGUEZ, JOCELYN (RDN)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8705 AUGUSTA LOOP
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-7525
Mailing Address - Country:US
Mailing Address - Phone:956-319-2819
Mailing Address - Fax:
Practice Address - Street 1:8705 AUGUSTA LOOP
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-7525
Practice Address - Country:US
Practice Address - Phone:956-319-2819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered