MEDICARE: ATHZIRI 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	374U00000X	Home Health Aide	602927731124	OH

General Provider Information

NPI Number	:	1619829645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ATHZIRI RODRIGUEZ

Provider Business Mailing Address
First Line	:	1589 SOUTHEAST BLVD
Second Line	:
City	:	SALEM
State	:	OH
Zip	:	44460-3906
Country	:	US
Telephone Number	:	614-679-4142
Fax Number	:

Provider Business Practice Location Address
First Line	:	1589 SOUTHEAST BLVD
Second Line	:
City	:	SALEM
State	:	OH
Zip	:	44460-3906
Country	:	US
Telephone Number	:	614-679-4142
Fax Number	:

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

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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Directions to “ ATHZIRI RODRIGUEZ ” Practice Location

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