Freddy Angel Rodriguez, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

E3758 Issued in TX

Practice address

3050 S 1St St Ste 215
Garland, TX 75041-3442

Phone

(972) 926-1199

Fax

(972) 278-6830

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609091198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 S 1ST ST STE 215",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750413442",
            "telephone_number": "972-926-1199",
            "fax_number": "972-278-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 S 1ST ST STE 215",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750413442",
            "telephone_number": "972-926-1199",
            "fax_number": "972-278-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "FREDDY",
        "middle_name": "ANGEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "E3758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0999732-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Darren Robinson, MD
• Julia Robinson
• Rock of Ages Home Health Care Inc
• Christopher Rodenberg
• Denoi Rodriguez, LVN
• Juana Maribel Rodriguez, P.A.
• Ramiro Rincon Rodriguez Jr., M.D.
• Raul C. Rodriguez, MD
• Marcos S Rodriquez, D.C.
• Crystal Grace Roe, MD

• Specialist in Garland, TX
• Providers in Garland, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.