MEDICARE: DANIELA S RODRIGUES

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	235Z00000X	Speech-Language Pathologist	SP822	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154533362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELA S RODRIGUES

Provider Business Mailing Address
First Line	:	3324 HILLINGDON CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7328
Country	:	US
Telephone Number	:	702-243-8636
Fax Number	:

Provider Business Practice Location Address
First Line	:	3324 HILLINGDON CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7328
Country	:	US
Telephone Number	:	702-243-8636
Fax Number	:

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

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	07/09/2007

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Directions to “ DANIELA S RODRIGUES ” Practice Location

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