Luis Angel Rodriguez, M.D.
Family Medicine in San Carlos, AZ. Individual provider (NPI-1).
NPI number1699119503
StatusActive
Last updated in NPPESNov 18, 2013
Details
- NPI
- 1699119503
- Entity type
- Individual (NPI-1)
- Name
- Luis Angel Rodriguez
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2013
- Last updated
- Nov 18, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 4301071202 | MI | Yes |
Practice location
223 Cibecue CircleSan Carlos Phs Indian Hospital
San Carlos, AZ 85550-0208
Phone 928-475-7219 · Fax 928-475-7370
Mailing address
223 Cibecue Circle Rd.San Carlos Phs Indian Hospital
San Carlos, AZ 85550-0208
Phone 928-475-7219 · Fax 928-475-7370
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