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NPI Code Detail

MEDICARE: DR. GLORIA J RODRIGUEZ M.D.

MEDICARE:  DR. GLORIA J 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
12084P0800XPsychiatry Physician0101287623VA

Other Identifiers

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

General Provider Information

NPI Number : 1245279447
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GLORIA J RODRIGUEZ M.D.
Provider Business Mailing Address
First Line : 4250 FAIRFAX DR STE 600
Second Line :
City : ARLINGTON
State : VA
Zip : 22203-1665
Country : US
Telephone Number : 240-384-3442
Fax Number :
Provider Business Practice Location Address
First Line : 4250 FAIRFAX DR STE 600
Second Line :
City : ARLINGTON
State : VA
Zip : 22203-1665
Country : US
Telephone Number : 240-384-3442
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 12/01/2025

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Directions to “ DR. GLORIA J RODRIGUEZ M.D.” Practice Location

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