MEDICARE: MELISSA 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	237700000X	Hearing Instrument Specialist	HADE16102	AZ

General Provider Information

NPI Number	:	1336850221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA RODRIGUEZ

Provider Business Mailing Address
First Line	:	17328 W BUCHANAN ST
Second Line	:
City	:	GOODYEAR
State	:	AZ
Zip	:	85338-2538
Country	:	US
Telephone Number	:	602-319-1487
Fax Number	:

Provider Business Practice Location Address
First Line	:	15341 W WADDELL RD STE B106
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85379-5169
Country	:	US
Telephone Number	:	623-887-3325
Fax Number	:

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

Provider Enumeration Date	:	12/12/2022
Last Update Date	:	08/20/2025

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Directions to “ MELISSA RODRIGUEZ ” Practice Location

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