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General NPI Number Information
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NPI Number | 1316907967
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Entity Type | Individual
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Provider Name | JUAN F. RODRIGUEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 02/13/2009
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Provider Practice Location Address
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Address Line | 4970 N EXPRESSWAY SUITE A
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City | BROWNSVILLE
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State | TX
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Zip | 78526-4268
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Country | US
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Telephone | 956-350-2300
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Fax | 956-350-2622
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Provider Business Mailing Address
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Address Line | 4970 N EXPRESSWAY # 7783 SUITE A
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City | BROWNSVILLE
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State | TX
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Zip | 78526-4268
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Country | US
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Telephone | 956-350-2500
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Fax | 956-350-9800
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | D7783
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License Number State | TX
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