Rodolfo Myronn De Melo Rodrigues, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

BP10091217 Issued in TX

Practice address

2000 B Transmountain Road
Mob Room B318 MSC 42001
El Paso, TX 79911

Phone

(915) 215-5730

Fax

(915) 215-8671

NPI assigned

Aug 6, 2024

Sex

Male

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1679303432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 B TRANSMOUNTAIN ROAD",
            "address_2": "MOB ROOM B318 MSC 42001",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79911",
            "telephone_number": "915-215-5730",
            "fax_number": "915-215-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 B TRANSMOUNTAIN ROAD",
            "address_2": "MOB ROOM B318 MSC 42001",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79911",
            "telephone_number": "915-215-5730",
            "fax_number": "915-215-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MELO RODRIGUES",
        "first_name": "RODOLFO MYRONN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10091217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Susan De la Vega, PHARMD RPH
• Jessica Denise De Lara, PC-PNP-C
• Batriz Fatima De Leon, OTR/L
• Rubi De Los Reyes, RN
• Michael James De Luca, MD
• Victoria Estella De Salais
• Andrea De Santiago, DO
• Judith De Santiago
• Stephanie Leanne De Santiago, PHARM.D.
• Vanessa De Santiago

• Student in an Organized Health Care Education/Training Program in El Paso, TX
• Providers in El Paso, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.