Healthcare Provider Details

I. General information

NPI: 1841781200
Provider Name (Legal Business Name): ARMANDO FRANCISCO RODRIGUEZ LOPEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2018
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 AZIMUTH CT
ROCKY MOUNT NC
27804-3102
US

IV. Provider business mailing address

1172 FOWLER DR
GREENVILLE NC
27834-3335
US

V. Phone/Fax

Practice location:
  • Phone: 252-220-5470
  • Fax:
Mailing address:
  • Phone: 939-275-0483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number2023-01434
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code246ZN0300X
TaxonomyNephrology Specialist/Technologist
License Number2023-01434
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number2023-01434
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: