Provider Demographics
NPI:1376858381
Name:RODRIGUEZ, SONIA GARZA (MS, RD, CDCES,CEDS)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:GARZA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MS, RD, CDCES,CEDS
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:MICHELLE
Other - Last Name:GARZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:27 ASHFORD GLN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1337
Mailing Address - Country:US
Mailing Address - Phone:210-260-1759
Mailing Address - Fax:
Practice Address - Street 1:1380 PANTHEON WAY STE 250
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-2292
Practice Address - Country:US
Practice Address - Phone:210-817-4772
Practice Address - Fax:210-361-7153
Is Sole Proprietor?:No
Enumeration Date:2010-08-13
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT80975133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered