Provider Demographics
NPI:1598745598
Name:RODRIGUEZ, HUBERT A JR (MD)
Entity Type:Individual
Prefix:DR
First Name:HUBERT
Middle Name:A
Last Name:RODRIGUEZ
Suffix:JR
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:PO BOX 661495
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35266-1495
Mailing Address - Country:US
Mailing Address - Phone:205-979-5882
Mailing Address - Fax:205-979-1248
Practice Address - Street 1:1440 HIGHWAY DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:AL
Practice Address - Zip Code:36203-1951
Practice Address - Country:US
Practice Address - Phone:256-241-2230
Practice Address - Fax:256-241-2235
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD27178207L00000X
AL00022035207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORP00446913OtherRR MEDICARE
WA8492779Medicaid
OR274576Medicaid
ORP00446913OtherRR MEDICARE
OR139427Medicare PIN
WA8492779Medicaid