| Gerardo D Rodriguez-gomez, A Professional Corporation | |
|
1190 Ryland St Reno NV 89502-1702 | |
| (775) 322-7272 | |
| (775) 322-4789 |
| Full Name | Gerardo D Rodriguez-gomez, A Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1190 Ryland St, Reno, Nevada |
| Authorized Official Name and Position | Gerardo D Rodriguez (OWNER) |
| Authorized Official Contact | 7753227272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerardo D Rodriguez-gomez, A Professional Corporation 1190 Ryland St Reno NV 89502-1702 Ph: (775) 322-7272 | Gerardo D Rodriguez-gomez, A Professional Corporation 1190 Ryland St Reno NV 89502-1702 Ph: (775) 322-7272 |
| NPI Number | 1598918302 |
|---|---|
| Provider Enumeration Date | 10/24/2008 |
| Last Update Date | 10/24/2008 |
| Medicare PECOS PAC ID | 9335390244 |
|---|---|
| Medicare Enrollment ID | O20121126000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598918302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 6080 (Nevada) | Primary |
| Provider Name | Gerardo David Rodriguez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356437339 PECOS PAC ID: 6406007319 Enrollment ID: I20121126000599 |
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