Ricardo Israel Rodriguez, is a
Social Worker based in Provo, Utah. Ricardo Israel Rodriguez is licensed to practice in Utah (license number 12366411-3502) and his current practice location is
151 S University Ave, Provo, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 851-7127.
NPI number for Ricardo Israel Rodriguez is 1720594757 and his current mailing address is 1198 S 1220 W, Provo, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720594757.
Healthcare Provider's Profile
| Full Name | Ricardo Israel Rodriguez |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
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| Location | 151 S University Ave, Provo, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720594757
- Provider Enumeration Date: 12/28/2017
- Last Update Date: 08/31/2022
Medical Identifiers
Medical identifiers for Ricardo Israel Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720594757 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 12366411-3502 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ricardo Israel Rodriguez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ricardo Israel Rodriguez,
1198 S 1220 W,
Provo, UT 84601-5470
Ph: () - | Ricardo Israel Rodriguez,
151 S University Ave,
Provo, UT 84601-4427
Ph: (801) 851-7127 |
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