Physician Compare National (NPI:1669749552)

HEALTHCARE PROVIDER: ANGELICA MARIA RODRIGUEZ AU.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1669749552
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8224295514
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120127000663
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RODRIGUEZ
	Individual professional last name
Provider First Name	ANGELICA
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	QUALIFIED AUDIOLOGIST
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2420 W PIERCE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	204 PECOS VALLEY ENT
	Group Practice or individual's line 2 address
City	CARLSBAD
	Group Practice or individual's city
State	NM
	Group Practice or individual's state
Zip Code	882203518
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y