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NPI Code Detail

MEDICARE: REINALDO RODRIGUEZ

MEDICARE: REINALDO 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
1235Z00000XSpeech-Language Pathologist

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 : 1588298574
Entity Type Code : Individual
Provider Name (Legal Business Name) : REINALDO RODRIGUEZ
Provider Business Mailing Address
First Line : 2 M ST NE APT 901
Second Line :
City : WASHINGTON
State : DC
Zip : 20002-3990
Country : US
Telephone Number : 646-641-2860
Fax Number :
Provider Business Practice Location Address
First Line : 3815 FORT DR NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20016-1870
Country : US
Telephone Number : 202-939-2010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2020
Last Update Date : 02/27/2020

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Directions to “ REINALDO 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.

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