Provider Demographics
NPI:1063434504
Name:RODRIGUEZ, FRANCISCO BERNARDO IV (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:BERNARDO
Last Name:RODRIGUEZ
Suffix:IV
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 15247
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-8447
Mailing Address - Country:US
Mailing Address - Phone:210-837-3125
Mailing Address - Fax:
Practice Address - Street 1:19234 STONEHUE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3477
Practice Address - Country:US
Practice Address - Phone:210-837-3125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT53296208G00000X
TXK2111208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00X747OtherMEDICARE PTAN
TX165996301Medicaid
TX8M8861OtherBLUE CROSS
TXH68463Medicare UPIN
TX00X747OtherMEDICARE PTAN