Gina L Rodriguez

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11185H Issued in AZ

Practice address

1826 N 43Rd St
Phoenix, AZ 85008-4013

Phone

(480) 289-1628

NPI assigned

Sep 3, 2019

Last updated

Sep 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1922656800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 E COMMERCE AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852348210",
            "telephone_number": "480-200-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 N 43RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084013",
            "telephone_number": "480-289-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GINA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL11185H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.dynamicassistedlivingaz.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "14836 N Hana Maui Dr",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850223657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.dynamicassistedlivingaz.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "1826 N 43rd St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850084013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eric Joseph Rodriguez, M.D.
• Erica Rodriguez, OTD, OTR/L
• Francisco N Rodriguez, MD
• Gabriel Rodriguez
• Gibrham Rodriguez, M.D.
• Guadalupe Rodriguez
• Hector Luis Rodriguez
• Hugo Roberto Rodriguez, MSPT
• Janelle Rodriguez, MD
• Janelle Marie Rodriguez

• Assisted Living Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.