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General NPI Number Information
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NPI Number | 1649531765
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Entity Type | Individual
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Provider Name | NOE A. RODRIGUEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/05/2012
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Last Update Date | 05/01/2019
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-1544
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Country | US
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Telephone | 216-445-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 817 POSITANO RD
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City | GALVESTON
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State | TX
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Zip | 77550-3347
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Country | US
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Telephone | 832-628-6688
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35.135815
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License Number State | OH
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