Jaremy Rodriguez, MD
Student in an Organized Health Care Education/Training Program in San Antonio, TX. Individual provider (NPI-1).
NPI number1639972078
StatusActive
Last updated in NPPESApr 28, 2025
Details
- NPI
- 1639972078
- Entity type
- Individual (NPI-1)
- Name
- Jaremy Rodriguez
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 31, 2025
- Certification date
- Apr 22, 2025
- Last updated
- Apr 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | TX | Yes |
Practice location
4502 Medical DrSan Antonio, TX 78229-4402
Phone 210-358-4000
Mailing address
614 Forest LoopLaredo, TX 78045-8400
Phone 956-206-0239
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