Dina Denise Rodriguez, D.O.M.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1130 Issued in NM

Practice address

5200 Eubank Blvd NE
Suite C-3
Albuquerque, NM 87111-1759

Phone

(505) 323-8100

Fax

(505) 292-0555

NPI assigned

Dec 17, 2013

Reactivated

Nov 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Apex Vibrancy Center

  • Health Service Clinic/Center
  • Albuquerque, NM
  • NPI 1750845038
  NPD
• Enhanced Wellness

  • Acupuncturist
  • Albuquerque, NM
  • NPI 1699102467
  NPD (past)

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1295156370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 HERITAGE WAY NE",
            "address_2": "APT. B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093225",
            "telephone_number": "805-233-4998",
            "fax_number": "505-292-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 EUBANK BLVD NE",
            "address_2": "SUITE C-3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111759",
            "telephone_number": "505-323-8100",
            "fax_number": "505-292-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DINA",
        "middle_name": "DENISE",
        "credential": "D.O.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-17",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "deactivation_date": "2021-09-20",
        "reactivation_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "1130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cesar B Rodriguez, M.D.
• Claudia Ivonne Rodriguez
• David Arturo Rodriguez, M.D.
• Deanna Rodriguez, M.S. CCC-SLP
• Deborah Sue Rodriguez, LMT
• Dulce C Rodriguez
• Dulce Maria Rodriguez, LCSW
• Eddi Rodriguez
• Edmee Rodriguez, M.D.
• Elandra Lacey Rodriguez

• Acupuncturist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Acupuncturist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.