Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 010177 | LA |
NPI | 1023101854 |
---|---|
Provider Name | Dr. Raoul Pedro Rodriguez |
First Address | New Orleans, LA 70112-2632 |
Second Address | New Orleans, LA 70112-2600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 06/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1077623 | (05) | LA |
B65877 | (02) | LA |