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NPI Code Detail

MEDICARE: MARIA DE LOS ANGELES RODRIGUEZ DDS

MEDICARE: MARIA DE LOS ANGELES RODRIGUEZ DDS
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
1390200000XStudent in an Organized Health Care Education/Training Program
21223G0001XGeneral Practice Dentistry019.034564IL

General Provider Information

NPI Number : 1891475109
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA DE LOS ANGELES RODRIGUEZ DDS
Provider Business Mailing Address
First Line : 519 CEDAR CT
Second Line :
City : MUNSTER
State : IN
Zip : 46321-2402
Country : US
Telephone Number : 786-571-3053
Fax Number :
Provider Business Practice Location Address
First Line : 567 W 14TH ST
Second Line :
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-2386
Country : US
Telephone Number : 708-283-9800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2023
Last Update Date : 08/15/2023

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Directions to “ MARIA DE LOS ANGELES RODRIGUEZ DDS” Practice Location

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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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