Provider Demographics
NPI:1720235708
Name:RODRIGUEZ, RADAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:RADAMES
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7355 BARLITE BLVD STE 501
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-1341
Mailing Address - Country:US
Mailing Address - Phone:726-268-7660
Mailing Address - Fax:726-268-7661
Practice Address - Street 1:7355 BARLITE BLVD STE 501
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1341
Practice Address - Country:US
Practice Address - Phone:726-268-7660
Practice Address - Fax:726-268-7661
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0411207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine