Healthcare Provider Details

I. General information

NPI: 1275261331
Provider Name (Legal Business Name): MS. MONICA KARINA RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2022
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7410 BLANCO RD STE 400
SAN ANTONIO TX
78216-4394
US

IV. Provider business mailing address

4649 LOMA DEL SUR DR APT 1201
EL PASO TX
79934-3355
US

V. Phone/Fax

Practice location:
  • Phone: 210-838-5351
  • Fax:
Mailing address:
  • Phone: 915-345-7298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number41523
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: