Provider Demographics
NPI:1982638474
Name:RODRIGUEZ, JOSE S
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:S
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:
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 2780
Mailing Address - Street 2:D'ORO HOME HEALTH SERVICES
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78540-2780
Mailing Address - Country:US
Mailing Address - Phone:956-383-7933
Mailing Address - Fax:956-383-7018
Practice Address - Street 1:921 MIKE CHAPA
Practice Address - Street 2:D'ORO HOME HEALTH SERVICES
Practice Address - City:LA VILLA
Practice Address - State:TX
Practice Address - Zip Code:78562
Practice Address - Country:US
Practice Address - Phone:956-262-0777
Practice Address - Fax:956-262-0778
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009435374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide