MEDICARE: HEALTH ON DEMAND (RODRIGUEZ) PC

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	207Q00000X	Family Medicine Physician		NV

General Provider Information

NPI Number	:	1588711659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH ON DEMAND (RODRIGUEZ) PC

Provider Business Mailing Address
First Line	:	5771 S FORT APACHE RD STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5626
Country	:	US
Telephone Number	:	702-614-1250
Fax Number	:	702-489-2099

Provider Business Practice Location Address
First Line	:	9750 W SKYE CANYON PARK DR STE 160-287
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89166-6623
Country	:	US
Telephone Number	:	702-350-1463
Fax Number	:	702-470-1815

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRYN M RODRIGUEZ
Credential	:	MD
Telephone Number	:	702-350-1463

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	03/21/2024

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