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General NPI Number Information
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NPI Number | 1316300023
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Entity Type | Individual
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Provider Name | MICHELLE RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 03/30/2016
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 19780 S US HIGHWAY 281
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City | SAN ANTONIO
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State | TX
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Zip | 78221-9761
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Country | US
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Telephone | 210-626-0600
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Fax | 210-626-1174
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Provider Business Mailing Address
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Address Line | 903 W MARTIN ST # MS 49-2
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City | SAN ANTONIO
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State | TX
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Zip | 78207-0903
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Country | US
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Telephone | 210-358-5909
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | S0370
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License Number State | TX
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