Enitt Andreina Rodriguez Gonzalez

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1199-P.A. Issued in PR

Practice address

12635 N Rosewood Ave
Phoenix, AZ 85029-2124

Phone

(305) 901-9475

NPI assigned

Mar 10, 2022

Last updated

Mar 10, 2022By the provider in NPPES

Sex

Female

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": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1548918378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12635 N ROSEWOOD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292124",
            "telephone_number": "305-901-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12635 N ROSEWOOD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292124",
            "telephone_number": "305-901-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ GONZALEZ",
        "first_name": "ENITT",
        "middle_name": "ANDREINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "1199",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "1199-P.A.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Rodrigues
• Robert L Rodrigues, M.D.
• Mariana Rodriguez Fierro, RDN, CDCES
• Alexandra Rodriguez Garcia, MD
• Fabiola Rodriguez Garcia, MD
• Jose Ramon de Jesus Rodriguez Nuno, BCBA
• Yamile Rodriguez Segura
• Melina Lisbeth Rodriguez Upton, PT, DPT
• Julio A Rodriguez-Lopez, MD
• Hector Ivan Rodriguez-Luna, M.D.

• Medical Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.