Organization Active NPI

Dr Victorio C Rodriguez MD Pma Co

  • Clinic/Center
  • Cleveland, OH
National Provider Identifier
1083673206
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
034349 Issued in OH
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

Updated by the provider on Jun 17, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0207912MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.