Raulie D Rodrigo, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

081499 Issued in MI

Practice address

1530 Pine Grove Ave
Ste 7
Port Huron, MI 48060

Phone

(810) 985-0029

Fax

(810) 985-0032

NPI assigned

Aug 12, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tri Hospital MRI Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Port Huron, MI
  • NPI 1063581353
  NPD (past)
• X-Ray Associates of Port Huron P C

  • Diagnostic Radiology Physician
  • Port Huron, MI
  • NPI 1801967583
  NPD (past)
• Hazleton Radiology Associates

  • Diagnostic Radiology Physician
  • Hazleton, PA
  • NPI 1720035942
  NPD (past)
• Lehigh Valley Hospital Hazleton

  • Community/Retail Pharmacy
  • Hazleton, PA
  • NPI 1336960533
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710999560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 PINE GROVE AVE",
            "address_2": "STE 7",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "48060",
            "telephone_number": "810-985-0029",
            "fax_number": "810-985-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 PINE GROVE AVE",
            "address_2": "STE 7",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "48060",
            "telephone_number": "810-985-0029",
            "fax_number": "810-985-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGO",
        "first_name": "RAULIE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "081499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4527529",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Michael Roberts, D.O.
• Quinn Olivia Roberts
• Riley Robinson, PA-C
• Thomas James Robinson
• Robert Roche, PTA
• Maritza Rodriguez-Arseneau, LPC
• Roe Services Incorporated
• Donna Lynn Roe, OTR
• Justin Rohde
• Ron Brickey Assoc PC

• Diagnostic Radiology Physician in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Diagnostic Radiology Physician in Michigan

• 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.