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NPI Code Detail

MEDICARE: ROCIO RODRIGUEZ

MEDICARE:   ROCIO  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
1171M00000XCase Manager/Care Coordinator
2175T00000XPeer Specialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14810OTHERCACOUNTY ID

General Provider Information

NPI Number : 1740353812
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROCIO RODRIGUEZ
Provider Business Mailing Address
First Line : 499 LOMA ALTA AVE
Second Line :
City : LOS GATOS
State : CA
Zip : 95030-6227
Country : US
Telephone Number : 408-332-6853
Fax Number :
Provider Business Practice Location Address
First Line : 499 LOMA ALTA AVE
Second Line :
City : LOS GATOS
State : CA
Zip : 95030-6227
Country : US
Telephone Number : 408-876-4205
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 04/08/2025

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Directions to “ ROCIO RODRIGUEZ ” Practice Location

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