Rodriguez, Roberto Luis

Rodriguez, Roberto Luis is an individual health care provider with primary practice located at 10775 Pioneer Trl Ste 215 , Truckee CA 96161-0234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rodriguez, Roberto Luis can be contacted via phone (415) 424-4266.

Contact Information

Primary practice address
10775 Pioneer Trl Ste 215 Truckee CA 96161-0234
Fax: (415) 520-6633
Website:

Health care specialties

Profile Details

NPI number 1548252836
LBN Legal business name Rodriguez, Roberto Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Nov 4th, 2022 - about 2 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 1548252836 NPPES
Hawaii MEDICAID 002472
Hawaii MEDICAID 181402206
Hawaii MEDICAID 830105662
Hawaii MEDICAID 250016795
Hawaii MEDICAID 100241921
Hawaii MEDICAID 2200757
Hawaii MEDICAID 9000199578
Hawaii MEDICAID 106158

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