Rodriguez, Raul

Rodriguez, Raul is an individual health care provider with primary practice located at 2300 Opitz Blvd , Woodbridge VA 22191-3311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Rodriguez, Raul can be contacted via phone (703) 670-1313.

Contact Information

Primary practice address
2300 Opitz Blvd Woodbridge VA 22191-3311
Phone: (703) 670-1313
Fax: (800) 536-8431
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101031389 Virginia

Profile Details

NPI number 1417909839
LBN Legal business name Rodriguez, Raul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jun 3rd, 2008 - 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 1417909839 NPPES
Virginia MEDICAID 5834813
Virginia Other 0001
Virginia Other 930109438

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