MEDICARE: DR. WILLIAM JULIO RODRIGUEZ MD

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	208000000X	Pediatrics Physician	D0031351	MD

General Provider Information

NPI Number	:	1770824377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM JULIO RODRIGUEZ MD

Provider Business Mailing Address
First Line	:	10903 NEW HAMPSHIRE
Second Line	:	BLDG 32 ROOM 5162
City	:	SILVER SPRING
State	:	MD
Zip	:	20993-0002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10903 NEW HAMPSHIRE
Second Line	:	BLDG 32 ROOM 5162
City	:	SILVER SPRING
State	:	MD
Zip	:	20993-0002
Country	:	US
Telephone Number	:	301-796-8652
Fax Number	:

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

Provider Enumeration Date	:	03/06/2013
Last Update Date	:	07/28/2017

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