MEDICARE: ERIC 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	390200000X	Student in an Organized Health Care Education/Training Program
2	2085R0202X	Diagnostic Radiology Physician	PENDING	AZ

General Provider Information

NPI Number	:	1396132437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC RODRIGUEZ

Provider Business Mailing Address
First Line	:	207 RILLA VISTA DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-7633
Country	:	US
Telephone Number	:	831-359-6405
Fax Number	:

Provider Business Practice Location Address
First Line	:	5114 MEDICAL DR APT 2348
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3878
Country	:	US
Telephone Number	:	831-359-6405
Fax Number	:

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

Provider Enumeration Date	:	04/15/2015
Last Update Date	:	08/26/2021

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1255264404 — ASHLEIGH DENZMORE
Practice Location Address:

3878 RUFFIN RD STE B
SAN DIEGO, CA
92123-1842

Practice Phone: 619-795-9925
Practice Fax:

1326025941 — JASMINE JOY MCLEOD M.D.
Practice Location Address:

339 E HIGHLAND AVE , SUITE 524
SAN BERNARDINO, CA
92404-3878

Practice Phone: 909-886-6904
Practice Fax: 909-881-6424

1427199785 — DR. JEFFREY PAUL RATTET MD
Practice Location Address:

399 E HIGHLAND AVE , #524
SAN BERNARDINO, CA
92404-3878

Practice Phone: 909-886-6904
Practice Fax: 909-881-6424

1861619645 — JUDI LYNN COX L.C.S.W.
Practice Location Address:

3878 OLD TOWN AVE
SAN DIEGO, CA
92110-3023

Practice Phone: 858-752-3501
Practice Fax:

1093974289 — HONG VAN DUONG PHARMD
Practice Location Address:

3878 EVANGELHO CIR
SAN JOSE, CA
95148-4373

Practice Phone: 408-318-4727
Practice Fax:

Directions to “ ERIC RODRIGUEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.