Rodriguez, Luis
Rodriguez, Luis is an individual health care provider with primary practice located at 707 E Main St , Middletown NY 10940-2650. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Rodriguez, Luis can be contacted via phone (845) 343-0616.Contact Information
Primary practice address
707 E Main St
Middletown NY 10940-2650
Phone: (845) 343-0616
Fax: (845) 343-0617
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 182564 | New York |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 182564 | New York |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 06233100 | New Jersey |
Profile Details
NPI number | 1760422232 |
---|---|
LBN Legal business name | Rodriguez, Luis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2006 |
Last updated | Jul 22nd, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760422232 | NPPES |
New York | MEDICAID | 03283709 |
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