Damaso Enrique Montes Rodriguez

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

630107010414296 Issued in AZ

Practice address

8916 W Payson Rd
Tolleson, AZ 85353-5906

Phone

(602) 363-9228

NPI assigned

Nov 2, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1255704151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8916 W PAYSON RD",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853535906",
            "telephone_number": "602-363-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8916 W PAYSON RD",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853535906",
            "telephone_number": "602-363-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DAMASO",
        "middle_name": "ENRIQUE MONTES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "AZ",
            "license": "630107010414296",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "AZ",
            "license": "T033994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehoboth Broad LLC
• Steve Reupena, STEVE REUPENA
• Whitney M Rice, PHARMD
• Dominique Nadine Rodallegas
• Karen D Rodriguez Lopez, PA
• Janet Rodriguez
• Jose Rodriguez
• Karyna Rodriguez
• John Anthony Romero, PHARMD
• Mary L. Romero, MPT

• Other Technician in Tolleson, AZ
• Providers in Tolleson, AZ by specialty
• Other Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.