Active NPI
Edgar Rodriguez, M.D., M.P.H.
- Occupational Medicine Physician
- Fort Bliss, TX
National Provider Identifier
1124094628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 11644
- Practice address
- 18511 Highlander Medics St
Fort Bliss, TX 79906-5327 - Phone
- (575) 674-3500
- Fax
- (915) 742-7459
- NPI assigned
- Feb 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11644 | PR | |
| Family Medicine Physician | 207Q00000X | MD2024-0814 | NM | |
| Aerospace Medicine Physician | 2083A0100X | 11644 | PR | |
| Aerospace Medicine Physician | 2083A0100X | MD2024-0814 | NM | |
| Occupational Medicine Physician | 2083X0100X | MD2024-0814 | NM | |
| Occupational Medicine Physician | 2083X0100X | 11644 | PR | Primary |
Addresses
Primary practice location
18511 Highlander Medics St
Fort Bliss, TX 79906-5327
Mailing address
PO Box 429
Elephant Butte, NM 87935-0429
Phone (210) 213-2880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2024-0814 | NM | MD | Occupational Medicine Physician |
| 11644 | PR | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1124094628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 429",
"city": "ELEPHANT BUTTE",
"state": "NM",
"postal_code": "879350429",
"telephone_number": "210-213-2880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18511 HIGHLANDER MEDICS ST",
"city": "FORT BLISS",
"state": "TX",
"postal_code": "799065327",
"telephone_number": "575-674-3500",
"fax_number": "915-742-7459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "EDGAR",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "11644",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2024-0814",
"primary": false
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "PR",
"license": "11644",
"primary": false
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "NM",
"license": "MD2024-0814",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "NM",
"license": "MD2024-0814",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "PR",
"license": "11644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bliss, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.