Ms Glory E Rodriguez, RD is a medicare enrolled "Nutritionist" provider in Dallas, Texas. Her current practice location is
8330 Lyndon B Johnson Fwy Ste B650, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(469) 619-6921.
Ms Glory E Rodriguez is licensed to practice in Puerto Rico (license number 1311) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235394271.
Healthcare Provider's Profile
Full Name | Ms Glory E Rodriguez |
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Gender | Female |
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Speciality | Nutritionist |
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Location | 8330 Lyndon B Johnson Fwy Ste B650, Dallas, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235394271
- Provider Enumeration Date: 07/18/2008
- Last Update Date: 02/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 2264666940
- Enrollment ID: I20190412001724
Medical Identifiers
Medical identifiers for Ms Glory E Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235394271 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 896265 (Puerto Rico) | Secondary |
133N00000X | Nutritionist | 1311 (Puerto Rico) | 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. Ms Glory E Rodriguez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Glory E Rodriguez, RD 10754 Midway Dr, Frisco, TX 75035 Ph: (787) 559-6617 | Ms Glory E Rodriguez, RD 8330 Lyndon B Johnson Fwy Ste B650, Dallas, TX 75243-1166 Ph: (469) 619-6921 |
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