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NPI Code Detail

MEDICARE: MARLENE RODRIGUEZ MD

MEDICARE: MARLENE RODRIGUEZ MD
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
1208000000XPediatrics Physician42628AZ
2208000000XPediatrics PhysicianA84528CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
255-1975OTHERCAFQHC MEDICARE PART A
3ZZZ29799ZOTHERCAFQHC MEDICARE PART B

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HAP71021FOTHERCAFPACT
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629178975
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLENE RODRIGUEZ MD
Provider Business Mailing Address
First Line : 839 W CONGRESS ST
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2819
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Provider Business Practice Location Address
First Line : 6950 E GOLF LINKS RD
Second Line :
City : TUCSON
State : AZ
Zip : 85730-1017
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 01/29/2025

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Directions to “ MARLENE RODRIGUEZ MD” Practice Location

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