Provider Demographics
NPI:1285106005
Name:DANIELLA RODRIGUEZ-RICO M.D. PA
Entity type:Organization
Organization Name:DANIELLA RODRIGUEZ-RICO M.D. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ-RICO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-299-2222
Mailing Address - Street 1:4716 S JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-6199
Mailing Address - Country:US
Mailing Address - Phone:956-299-2222
Mailing Address - Fax:956-956-3789
Practice Address - Street 1:4716 S JACKSON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-6199
Practice Address - Country:US
Practice Address - Phone:956-299-2222
Practice Address - Fax:956-378-9974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-18
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty