Provider Demographics
NPI:1932731650
Name:RAQUEL ALEJANDRA RODRIGUEZ
Entity Type:Organization
Organization Name:RAQUEL ALEJANDRA RODRIGUEZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RAQUEL
Authorized Official - Middle Name:ALEJANDRA
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-229-3414
Mailing Address - Street 1:1104 MARKET ST # A
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78040-6253
Mailing Address - Country:US
Mailing Address - Phone:956-229-3414
Mailing Address - Fax:956-441-1858
Practice Address - Street 1:1104 MARKET ST # A
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040-6253
Practice Address - Country:US
Practice Address - Phone:956-229-3414
Practice Address - Fax:956-441-1858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-11
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care