MEDICARE: DR. MONICA MARIE RODRIGUEZ -MONROIG DMD

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	1223D0004X	Dental Anesthesiology	34752	TX

General Provider Information

NPI Number	:	1144646084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONICA MARIE RODRIGUEZ -MONROIG DMD

Provider Business Mailing Address
First Line	:	2514 GUS THOMASSON RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-3040
Country	:	US
Telephone Number	:	787-600-6806
Fax Number	:	469-325-1515

Provider Business Practice Location Address
First Line	:	2514 GUS THOMASSON RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-3040
Country	:	US
Telephone Number	:	787-600-6806
Fax Number	:

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

Provider Enumeration Date	:	03/17/2014
Last Update Date	:	10/25/2021

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