Provider Demographics
NPI:1023811205
Name:RODRIGUEZ, IRMA M (CPT)
Entity type:Individual
Prefix:MS
First Name:IRMA
Middle Name:M
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2089 N DELSEA DR UNIT 26
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-1935
Mailing Address - Country:US
Mailing Address - Phone:856-503-4808
Mailing Address - Fax:
Practice Address - Street 1:2089 N DELSEA DR UNIT 26
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-1935
Practice Address - Country:US
Practice Address - Phone:856-503-4808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ33-4218891246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy