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NPI Code Detail

MEDICARE: MS. SANTA MARGARITA RODRIGUEZ

MEDICARE: MS. SANTA MARGARITA 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
1363L00000XNurse PractitionerAP132705TX

General Provider Information

NPI Number : 1649713694
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SANTA MARGARITA RODRIGUEZ
Provider Business Mailing Address
First Line : 3434 SARATOGA BLVD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78415-5822
Country : US
Telephone Number : 361-985-9355
Fax Number : 361-992-3458
Provider Business Practice Location Address
First Line : 3434 SARATOGA BLVD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78415-5822
Country : US
Telephone Number : 361-985-9355
Fax Number : 361-992-3458
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2016
Last Update Date : 11/23/2016

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Directions to “ MS. SANTA MARGARITA RODRIGUEZ ” Practice Location

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