Provider Demographics
NPI:1851116701
Name:RODRIGUEZ, DINORHA NENNETTE (RN)
Entity type:Individual
Prefix:
First Name:DINORHA
Middle Name:NENNETTE
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2605 PAMPLONA ST
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-7079
Mailing Address - Country:US
Mailing Address - Phone:956-904-8826
Mailing Address - Fax:
Practice Address - Street 1:119 W PARK AVE
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-4740
Practice Address - Country:US
Practice Address - Phone:956-223-7671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-16
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX784660163WI0500X
TXMT145452225700000X, 163WM1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist