Rodriguez, Leonardo

Rodriguez, Leonardo is an individual health care provider with primary practice located at 1896 E Babbitt Ln , San Luis AZ 85349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rodriguez, Leonardo can be contacted via phone (928) 722-6112.

Contact Information

Primary practice address
1896 E Babbitt Ln San Luis AZ 85349
Phone: (928) 722-6112
Fax: (928) 722-6113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME98691 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 52439 Arizona

Profile Details

NPI number 1801007000
LBN Legal business name Rodriguez, Leonardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2007
Last updated Sep 14th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801007000 NPPES
Arizona MEDICAID 139738
Arizona MEDICAID 278820900

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