1083673206 NPI number — DR VICTORIO C RODRIGUEZ MD PMA CO

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083673206 NPI number — DR VICTORIO C RODRIGUEZ MD PMA CO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR VICTORIO C RODRIGUEZ MD PMA CO
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083673206
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/17/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3345 E 55TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLEVELAND
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44127-1547
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-441-4432
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3345 E 55TH ST
Provider Second Line Business Practice Location Address:
7791 HOERTZ RD., PARMA,OHIO,44134(BUSINESS MAILING)
Provider Business Practice Location Address City Name:
CLEVELAND
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44127-1547
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-441-4432
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RODRIGUEZ
Authorized Official First Name:
VICTORIO
Authorized Official Middle Name:
CAJIGAL
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
216-441-4432

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X , with the licence number:  034349 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0207912 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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