Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 04594R | LA |
Y | 111NI0900X | Internist | 04594R | LA |
N | 207RN0300X | Nephrologist | 04594R | LA |
NPI | 1053363515 |
---|---|
Provider Name | Eduardo E Rodriguez |
First Address | New Orleans, LA 70115-3547 |
Second Address | New Orleans, LA 70115-3585 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 19/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1199982 | (05) | LA |
B89106 | (02) |