Othon Rodriguez
Individual provider Active NPI Case Manager/Care Coordinator · Portales, NM
NPI 1992117337 · NPPES record last updated Mar 23, 2015
Key facts
- NPI
- 1992117337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1111 W. Fir
Portales, NM 88130 - Phone
- (575) 356-5112
- NPI assigned
- May 20, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1111 W. Fir
Portales, NM 88130
Mailing address
1100 W. 21St Street
Clovis, NM 88101
Phone (575) 769-2345
Other providers in Portales, NM
- Kevin Ridenhour
- Sylvia Anne Rife
- Riovida Counseling
- Alicia Ellen Roberts
- Joyce A Roberts
- Zoe Kambria Rodriguez
- Lauren Anne Rodriquez
- Sara Romero
- Roosevelt County Special Hospital District
- Roosevelt County Special Hospital District
All providers in Portales, NM · Case Manager/Care Coordinator in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2015. 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.