Healthcare Provider Details

I. General information

NPI: 1972249522
Provider Name (Legal Business Name): ALIYA MARIE RODRIGUEZ ROGERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2022
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

985645 NEBRASKA MEDICAL CENTER
OMAHA NE
68198-5645
US

IV. Provider business mailing address

985645 NEBRASKA MEDICAL CENTER
OMAHA NE
68198-5645
US

V. Phone/Fax

Practice location:
  • Phone: 402-552-7928
  • Fax: 402-552-3239
Mailing address:
  • Phone: 402-552-7928
  • Fax: 402-552-3239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number10483
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: