MEDICARE: DR. JAVIER F 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	H8815	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	00528J	OTHER	TX	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1780781187	OTHER	TX	RENDERING PROVIDER NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1457680464	OTHER	TX	GROUP NPI

General Provider Information

NPI Number	:	1780781187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAVIER F RODRIGUEZ M.D.

Provider Business Mailing Address
First Line	:	6101 BLUE LAGOON DR STE 400
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-2051
Country	:	US
Telephone Number	:	305-500-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	7142 SAN PEDRO AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-6254
Country	:	US
Telephone Number	:	726-268-7360
Fax Number	:	877-370-4369

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	12/16/2021

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Directions to “ DR. JAVIER F RODRIGUEZ M.D.” Practice Location

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