| Mr Rene Rodriguez, LCSW | |
|
223 W Cole Blvd, Calexico, CA 92231-9722 | |
| (760) 357-2020 | |
| Not Available |
| Full Name | Mr Rene Rodriguez |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 223 W Cole Blvd, Calexico, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255669438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 27636 (California) | Primary |
| 1041C0700X | Social Worker - Clinical | (NU) | Secondary |
| Entity Name | Clinicas De Salud Del Pueblo Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346313889 PECOS PAC ID: 5496657082 Enrollment ID: O20071201000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Rene Rodriguez, LCSW 223 W Cole Blvd, Calexico, CA 92231-9722 Ph: (760) 357-2020 | Mr Rene Rodriguez, LCSW 223 W Cole Blvd, Calexico, CA 92231-9722 Ph: (760) 357-2020 |
Matthew Michael Montijo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 Cesar Chavez Blvd, Calexico, CA 92231 Phone: 760-357-6566 Fax: 760-357-0849 |
Luz Plascencia, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 Cesar Chavez Blvd, Calexico, CA 92231 Phone: 760-357-6566 |
Mr. Martin Carrion, Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 Cesar Chavez Blvd, Calexico, CA 92231 Phone: 760-357-6566 Fax: 760-357-0849 |
Luis Roberto Tirado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1907 Eisenhower Ave, Calexico, CA 92231 Phone: 760-234-6129 |
Ana Lilia Corona Vizcarra, Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 Cesar Chavez Blvd, Calexico, CA 92231 Phone: 760-357-6566 |
Allison Marie Mainas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 Cesar Chavez Blvd, Calexico, CA 92231 Phone: 760-357-6566 |
Norma M Apodaca, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 Cesar Chavez Blvd, Calexico, CA 92231 Phone: 760-357-6566 |