MEDICARE: JAIRO RODRIGUEZ M.D.

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	207R00000X	Internal Medicine Physician	K8460	TX
2	207RP1001X	Pulmonary Disease Physician	K8460	TX

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	8A9370	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1689625741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIRO RODRIGUEZ M.D.

Provider Business Mailing Address
First Line	:	PO BOX 532201
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78553-2201
Country	:	US
Telephone Number	:	956-428-7862
Fax Number	:	956-440-0395

Provider Business Practice Location Address
First Line	:	893 S SAM HOUSTON BLVD
Second Line	:	STE B
City	:	SAN BENITO
State	:	TX
Zip	:	78586-3062
Country	:	US
Telephone Number	:	956-626-2500
Fax Number	:	956-626-2503

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

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	06/25/2024

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Directions to “ JAIRO RODRIGUEZ M.D.” Practice Location

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