MEDICARE: DR. JASON WILLIAM RODRIGUEZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	DR.0051535	CO

General Provider Information

NPI Number	:	1023250560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON WILLIAM RODRIGUEZ M.D.

Provider Business Mailing Address
First Line	:	1500 N GRANT ST STE 4388
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-1859
Country	:	US
Telephone Number	:	720-235-8281
Fax Number	:	657-208-2736

Provider Business Practice Location Address
First Line	:	1500 N GRANT ST STE 4388
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-1859
Country	:	US
Telephone Number	:	720-235-8281
Fax Number	:	657-208-2736

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2009
Last Update Date	:	07/13/2025

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