Provider Demographics
NPI:1689933814
Name:RODRIGUEZ, ANA (CNA)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10631 NACOGDOCHES RD APT 405
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-2883
Mailing Address - Country:US
Mailing Address - Phone:210-535-8488
Mailing Address - Fax:
Practice Address - Street 1:10631 NACOGDOCHES RD APT 405
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-2883
Practice Address - Country:US
Practice Address - Phone:210-234-6578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-08
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide