Active NPI
Dr Victorio C Rodriguez MD Pma Co
- Clinic/Center
- Cleveland, OH
National Provider Identifier
1083673206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 034349
- Legal business name
- DR VICTORIO C RODRIGUEZ MD PMA CO
- Practice address
- 3345 E 55TH St
7791 Hoertz Rd., Parma,Ohio,44134(Business Mailing)
Cleveland, OH 44127-1547 - Phone
- (216) 441-4432
- NPI assigned
- Mar 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Victorio Cajigal Rodriguez, M.D.
- Title
- President
- Phone
- (216) 441-4432
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 034349 | OH | Primary |
Addresses
Primary practice location
3345 E 55TH St
7791 Hoertz Rd., Parma,Ohio,44134(Business Mailing)
Cleveland, OH 44127-1547
Mailing address
3345 E 55TH St
Cleveland, OH 44127-1547
Phone (216) 441-4432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0207912 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
3345 E 55th St
#7791
Cleveland, OH 44127
Phone (216) 441-4432
3345 E 55th St
Cleveland, OH 44127
Phone (216) 441-4432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1083673206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3345 E 55TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441271547",
"telephone_number": "216-441-4432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3345 E 55TH ST",
"address_2": "7791 HOERTZ RD., PARMA,OHIO,44134(BUSINESS MAILING)",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441271547",
"telephone_number": "216-441-4432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR VICTORIO C RODRIGUEZ MD PMA CO",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-17",
"last_updated": "2008-06-17",
"status": "A",
"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",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "OH",
"license": "034349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0207912",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.