Laurentina Marie Rodrigues, RDMS, RT
Individual provider Active NPI Radiography Radiologic Technologist · Nuevo, CA
NPI 1871613331 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1871613331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiography Radiologic Technologist 2471C3402X
- Practice address
- 21945 Hess LN
Nuevo, CA 92567-9329 - Phone
- (951) 928-2464
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 179918 | CA | MD | Radiography Radiologic Technologist |
| 45014-8070 | CA | MD | Radiography Radiologic Technologist |
| 18715 | CA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | 179918 | CA | |
| Sonography Radiologic Technologist | 2471S1302X | 18715 | CA | |
| Radiography Radiologic Technologist | 2471C3402X | CA | Yes |
Addresses
Primary practice location
21945 Hess LN
Nuevo, CA 92567-9329
Mailing address
21945 Hess LN
Nuevo, CA 92567-9329
Phone (951) 928-2464
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All providers in Nuevo, CA · Radiography Radiologic Technologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. 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.