Maynor R Rodriguez

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

328 E Broad St Apt 1
Hazleton, PA 18201-6650

Phone

(570) 497-4070

Fax

(570) 300-1802

NPI assigned

Apr 16, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1770146730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2438",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182018438",
            "telephone_number": "570-497-4070",
            "fax_number": "570-300-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 E BROAD ST APT 1",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016650",
            "telephone_number": "570-497-4070",
            "fax_number": "570-300-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MAYNOR",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 04840)
• Lisha Marie Rivera, RPH
• Laura E Roadarmel, MSOTRL
• Robert W. Childs, MD, and Associates
• Linda Rocanelli, CRNA
• Jenelle L. Romig, PA-C
• Genesis Roque, MS, LAPC
• Patricia Rosati, CRNP
• Allison Lynn Rostocki, CRNP
• George J. Rucco Jr., CRNA

• Non-emergency Medical Transport (VAN) in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Non-emergency Medical Transport (VAN) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.