Healthcare Provider Details

I. General information

NPI: 1164420022
Provider Name (Legal Business Name): CYNTHIA RODRIGUEZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CINDY RODRIGUEZ CRNA

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10500 MONTGOMERY RD
CINCINNATI OH
45242-4402
US

IV. Provider business mailing address

10191 EVENDALE COMMONS DR
CINCINNATI OH
45241-2689
US

V. Phone/Fax

Practice location:
  • Phone: 513-672-3309
  • Fax: 512-672-3323
Mailing address:
  • Phone: 513-520-2676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number216114
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: