MEDICARE: MS. ABIGAIL RODRIGUEZ M.S. CCC-SLP

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
1	235Z00000X	Speech-Language Pathologist	104155	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1578707915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ABIGAIL RODRIGUEZ M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	1604 RAYADO CREEK LN
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79911-3098
Country	:	US
Telephone Number	:	915-238-5020
Fax Number	:

Provider Business Practice Location Address
First Line	:	1604 RAYADO CREEK LN
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79911-3098
Country	:	US
Telephone Number	:	915-238-5020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2009
Last Update Date	:	01/30/2019

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