Provider Demographics
NPI:1124282553
Name:RODRIGUEZ, CYNTHIA (PA)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2534 BOCA CHICA BLVD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-3496
Mailing Address - Country:US
Mailing Address - Phone:956-546-2000
Mailing Address - Fax:718-640-2713
Practice Address - Street 1:2534 BOCA CHICA BLVD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-3496
Practice Address - Country:US
Practice Address - Phone:956-546-2000
Practice Address - Fax:718-640-2713
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical