MEDICARE: DR. LUANA RODRIGUEZ DNP, CNM, CCTP

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	163W00000X	Registered Nurse	RN151992	AZ
2	367A00000X	Advanced Practice Midwife	ARNP9178401	FL
3	367A00000X	Advanced Practice Midwife	AP3016	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1659363166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUANA RODRIGUEZ DNP, CNM, CCTP

Provider Business Mailing Address
First Line	:	20655 W LEGEND TRL
Second Line	:
City	:	BUCKEYE
State	:	AZ
Zip	:	85396-1756
Country	:	US
Telephone Number	:	954-682-7069
Fax Number	:

Provider Business Practice Location Address
First Line	:	20655 W LEGEND TRL
Second Line	:
City	:	BUCKEYE
State	:	AZ
Zip	:	85396-1756
Country	:	US
Telephone Number	:	954-682-7069
Fax Number	:

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

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	11/29/2021

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