MEDICARE: MR. ABNER 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	101YP2500X	Professional Counselor	88065	TX

General Provider Information

NPI Number	:	1720766942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ABNER RODRIGUEZ

Provider Business Mailing Address
First Line	:	3104 HUMMINGBIRD AVE
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-5009
Country	:	US
Telephone Number	:	956-755-9724
Fax Number	:

Provider Business Practice Location Address
First Line	:	1552 W DOVE AVE STE 5
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-3439
Country	:	US
Telephone Number	:	956-688-0457
Fax Number	:

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

Provider Enumeration Date	:	07/07/2023
Last Update Date	:	06/12/2025

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