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NPI Code Detail

MEDICARE: DIANA PATRICIA RODRIGUEZ PA-C

MEDICARE: DIANA PATRICIA RODRIGUEZ PA-C
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
1363A00000XPhysician AssistantPA1119NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA1119OTHERNVNV PA LICENSE

General Provider Information

NPI Number : 1598913808
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA PATRICIA RODRIGUEZ PA-C
Provider Business Mailing Address
First Line : 7720 W SAHARA AVE
Second Line : STE 103
City : LAS VEGAS
State : NV
Zip : 89117-2754
Country : US
Telephone Number : 702-228-9888
Fax Number : 866-920-0799
Provider Business Practice Location Address
First Line : 3802 MEADOWS LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-3112
Country : US
Telephone Number : 702-313-8446
Fax Number : 702-384-8446
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2008
Last Update Date : 11/11/2016

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Directions to “ DIANA PATRICIA RODRIGUEZ PA-C” Practice Location

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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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