Richard Michael Rodriguez, NNP-BC
Nurse Practitioner, Neonatal, Critical Care in Brownsville, TX. Individual provider (NPI-1).
NPI number1023522331
StatusActive
Last updated in NPPESFeb 1, 2022
Details
- NPI
- 1023522331
- Entity type
- Individual (NPI-1)
- Name
- Richard Michael Rodriguez
- Credential
- NNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 22, 2017
- Certification date
- Feb 1, 2022
- Last updated
- Feb 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LN0005X | Nurse Practitioner, Neonatal, Critical Care | AP135871 | TX | Yes |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | AP135871 | TX |
Practice location
2205 Concord PlBrownsville, TX 78520-3984
Phone 956-203-8463
Mailing address
100 E Resaca DrLos Fresnos, TX 78566-3101
Phone 956-203-8463
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