Provider Demographics
NPI:1528010147
Name:RODRIGUEZ, OFELIA (MD)
Entity Type:Individual
Prefix:DR
First Name:OFELIA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:EDUARDO
Other - Middle Name:
Other - Last Name:AQUINO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2501 N 23RD ST STE A
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-7893
Mailing Address - Country:US
Mailing Address - Phone:956-994-3339
Mailing Address - Fax:956-994-0801
Practice Address - Street 1:2501 N 23RD ST STE A
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-7893
Practice Address - Country:US
Practice Address - Phone:956-994-3339
Practice Address - Fax:956-994-0801
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0246207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI24345Medicare UPIN