Individual provider Active NPI

Roberto Rodriguez, M.D.

  • Allergy Physician
  • San Antonio, TX
National Provider Identifier
1821069550
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
H1870 Issued in TX
Practice address
7711 Louis Pasteur Dr
Suite 901/905
San Antonio, TX 78229-3415
Phone
(210) 616-0690
Fax
(210) 614-8746
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X H1870 TX Primary

Addresses

Primary practice location

7711 Louis Pasteur Dr
Suite 901/905
San Antonio, TX 78229-3415

Mailing address

7711 Louis Pasteur Dr
Suite 901/905
San Antonio, TX 78229-3415
Phone (210) 616-0690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070215000336 TX Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 7315949658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1821069550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 LOUIS PASTEUR DR",
            "address_2": "SUITE 901/905",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293415",
            "telephone_number": "210-616-0690",
            "fax_number": "210-614-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 LOUIS PASTEUR DR",
            "address_2": "SUITE 901/905",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293415",
            "telephone_number": "210-616-0690",
            "fax_number": "210-614-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "H1870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.