Rodriguez-Rivera, Ildefonso Ismael

Rodriguez-Rivera, Ildefonso Ismael is an individual health care provider with primary practice located at 2829 Babcock Rd Ste 300 , San Antonio TX 78229-6011. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Rodriguez-Rivera, Ildefonso Ismael can be contacted via phone (210) 580-9500.

Contact Information

Primary practice address
2829 Babcock Rd Ste 300 San Antonio TX 78229-6011
Phone: (210) 580-9500
Fax: (210) 568-4397
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X BP10039991 Texas
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 279093 New York
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X PHYTEMP Texas

Profile Details

NPI number 1861783185
LBN Legal business name Rodriguez-Rivera, Ildefonso Ismael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2011
Last updated Oct 4th, 2021 - about 4 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 1861783185 NPPES
Texas MEDICAID 341471603

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