DR. RAUL MARCELO RODRIGUEZ


Address: 12023 Edward Conrad, San Antonio, TX 78253-5092
Phone: 3619061554

DR. RAUL MARCELO RODRIGUEZ (NPI# 1477680080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477680080
Entity Type Individual
Full Name DR. RAUL MARCELO RODRIGUEZ
Credential M.D., M.P.H.
Practice Address 12023 Edward Conrad
San Antonio
TX 78253-5092
Practice Telephone 3619061554
Mailing Telephone 3619061554
Enumeration Date 2007-02-28
Last Update Date 2015-01-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice G6867 TX Allopathic & Osteopathic Physicians

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Office Location

Street Address 12023 EDWARD CONRAD
City SAN ANTONIO
State TX
Zip Code 78253-5092

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City SAN ANTONIO
Zip Code 78253

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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