Adriel Rae Rodriquez
Individual provider Active NPI School Registered Nurse · Roiy, NM
NPI 1659886570 · NPPES record last updated Dec 14, 2017
Key facts
- NPI
- 1659886570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- RN-87530 (NM)
- Practice address
- 525 Roosevelt
Roiy, NM 87743 - Phone
- (575) 485-2223
- NPI assigned
- Dec 14, 2017
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-87530 | NM | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN-87530 | NM | Yes |
Addresses
Primary practice location
525 Roosevelt
Roiy, NM 87743
Mailing address
525 Roosevelt
Roiy, NM 87743
Phone (575) 485-2223
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2017. 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.