Provider Demographics
NPI:1790166932
Name:RODRIGUEZ, AMBER NICHOLE (MD)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:NICHOLE
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:NICHOLE
Other - Last Name:RAMEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6011 E WOODMEN RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-2604
Mailing Address - Country:US
Mailing Address - Phone:719-884-9962
Mailing Address - Fax:719-884-9963
Practice Address - Street 1:6011 EXCEPTIONAL CARE FOR WOMEN
Practice Address - Street 2:SUITE 305
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-2604
Practice Address - Country:US
Practice Address - Phone:719-884-9962
Practice Address - Fax:719-884-9963
Is Sole Proprietor?:No
Enumeration Date:2015-06-12
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN