MEDICARE: DR. JONATHAN ADMIL GUERRA 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	207R00000X	Internal Medicine Physician	M-15019	ID
2	208M00000X	Hospitalist Physician	MD60784814	WA
3	208M00000X	Hospitalist Physician	P7452	TX
4	208M00000X	Hospitalist Physician	M-15019	ID
5	208M00000X	Hospitalist Physician	12007	SD

General Provider Information

NPI Number	:	1265745335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN ADMIL GUERRA RODRIGUEZ M.D.

Provider Business Mailing Address
First Line	:	7000 NORTH MOPAC
Second Line	:	SUITE # 420
City	:	AUSTIN
State	:	TX
Zip	:	78731
Country	:	US
Telephone Number	:	512-482-0045
Fax Number	:	512-476-9892

Provider Business Practice Location Address
First Line	:	7000 NORTH MOPAC
Second Line	:	SUITE # 420
City	:	AUSTIN
State	:	TX
Zip	:	78731
Country	:	US
Telephone Number	:	512-482-0045
Fax Number	:	512-476-9892

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

Provider Enumeration Date	:	07/19/2010
Last Update Date	:	03/02/2026

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