MEDICARE: ALMA RODRIGUEZ

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	372500000X	Chore Provider

General Provider Information

NPI Number	:	1033673017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALMA RODRIGUEZ

Provider Business Mailing Address
First Line	:	1549 COMMERCIAL AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78221-1035
Country	:	US
Telephone Number	:	210-416-1908
Fax Number	:

Provider Business Practice Location Address
First Line	:	1549 COMMERCIAL AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78221-1035
Country	:	US
Telephone Number	:	210-416-1908
Fax Number	:

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

Provider Enumeration Date	:	01/24/2019
Last Update Date	:	01/24/2019

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Directions to “ ALMA RODRIGUEZ ” Practice Location

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