Provider Demographics
NPI:1124106869
Name:RODRIGUEZ, RAMIRO RINCON JR (MD)
Entity type:Individual
Prefix:DR
First Name:RAMIRO
Middle Name:RINCON
Last Name:RODRIGUEZ
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9101
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-9494
Mailing Address - Country:US
Mailing Address - Phone:972-745-7500
Mailing Address - Fax:972-745-4336
Practice Address - Street 1:7145 N GEORGE BUSH HWY
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-2988
Practice Address - Country:US
Practice Address - Phone:972-530-1900
Practice Address - Fax:972-530-7400
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2014-05-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY241569207Q00000X
TXM5471207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J4273Medicare PIN
TXI72831Medicare UPIN
TX8J4272Medicare PIN