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NPI Code Detail

MEDICARE: CARLOS RODRIGUE

MEDICARE: CARLOS RODRIGUE
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1316895444
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLOS RODRIGUE
Provider Business Mailing Address
First Line : 2810 W CHARLESTON BLVD STE 44
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1905
Country : US
Telephone Number : 702-485-1888
Fax Number :
Provider Business Practice Location Address
First Line : 2810 W CHARLESTON BLVD STE 44
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1905
Country : US
Telephone Number : 702-485-1888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ CARLOS RODRIGUE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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