Provider Demographics
NPI:1588475875
Name:RODRIGUEZ, GUADALUPE YVETTE
Entity type:Individual
Prefix:
First Name:GUADALUPE
Middle Name:YVETTE
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5216 FM 715
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79706-6511
Mailing Address - Country:US
Mailing Address - Phone:432-924-3201
Mailing Address - Fax:
Practice Address - Street 1:5216 FM 715
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79706-6511
Practice Address - Country:US
Practice Address - Phone:432-924-3201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator