=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568544229
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RODRIGUEZ-AQUINO MDPA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/20/2006
-----------------------------------------------------
Last Update Date | 06/09/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2501 N 23RD ST SUITE A
-----------------------------------------------------
City | MCALLEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78501-7893
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-994-3339
-----------------------------------------------------
Fax | 956-994-0801
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2501 N 23RD ST SUITE A
-----------------------------------------------------
City | MCALLEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78501-7893
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-994-3339
-----------------------------------------------------
Fax | 956-994-0801
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR
-----------------------------------------------------
Name | MRS. OFELIA RODRIGUEZ
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 956-994-3339
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | M0246
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------