Rodriguez, Rafael M

Rodriguez, Rafael M is an sole proprietor health care provider with primary practice located at 540 Madison Oak Dr Suite 690, San Antonio TX 78258-3943. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Rodriguez, Rafael M can be contacted via phone (210) 979-6863.

Contact Information

Primary practice address
540 Madison Oak Dr Suite 690 San Antonio TX 78258-3943
Phone: (210) 979-6863
Fax: (210) 979-7434
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X H3740 Texas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X H3740 Texas

Profile Details

NPI number 1871629253
LBN Legal business name Rodriguez, Rafael M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Nov 25th, 2009 - about 16 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 1871629253 NPPES
Texas MEDICAID 033473201

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