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NPI Code Detail

MEDICARE: DR. BARBARA MATILDE RODRIGUEZ M.D.

MEDICARE:  DR. BARBARA MATILDE RODRIGUEZ  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician35048693ROH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114038999
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARBARA MATILDE RODRIGUEZ M.D.
Provider Business Mailing Address
First Line : 54 S STATE ST
Second Line : STE 204
City : PAINESVILLE
State : OH
Zip : 44077-3445
Country : US
Telephone Number : 440-357-6740
Fax Number : 440-350-0506
Provider Business Practice Location Address
First Line : 54 S STATE ST
Second Line : STE 204
City : PAINESVILLE
State : OH
Zip : 44077-3445
Country : US
Telephone Number : 440-357-6740
Fax Number : 440-350-0506
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 03/09/2016

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Directions to “ DR. BARBARA MATILDE RODRIGUEZ M.D.” Practice Location

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