Rosa Ysela Rodriguez, CSW
Individual provider Active NPI Case Manager/Care Coordinator · Deming, NM
NPI 1306106406 · NPPES record last updated Mar 2, 2015
Key facts
- NPI
- 1306106406
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 901 W. Hickory
Deming, NM 88030 - Phone
- (575) 546-2174
- Fax
- (575) 544-4821
- NPI assigned
- May 22, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
901 W. Hickory
Deming, NM 88030
Mailing address
100 W Griggs Ave
Las Cruces, NM 88001-1234
Phone (575) 647-2800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18677037 | Medicaid | NM |
Other providers in Deming, NM
- Audrie Rios
- Robert a Graor, M.D.
- Venus Robles
- Rocky Mountain Holdings, LLC
- Lizzette Rodriguez
- Florence C Roque
- Inez Sargent Rottman
- Brisa Ney Ruiz I
- Jessica Ruiz
- Raul Ruiz
All providers in Deming, NM · Case Manager/Care Coordinator in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.