Active NPIIndividual provider

Mr. Jorge J Rodriguez, MS, LAT, ATC

Specialist/Technologist, Athletic Trainer in Bethlehem, Pennsylvania

NPI Number1497295695
Practice location
134 E North St, 2ND Apt, Bethlehem, PA 18018-4021
Fax
—
Last updated
January 18, 2021

Jorge Joel Rodriguez is a Specialist/Technologist, Athletic Trainer based in Bethlehem, PA. Jorge Joel Rodriguez practices in Bethlehem, PA and has the professional credentials of MS, LAT, ATC. The NPI Number for Jorge Joel Rodriguez is 1497295695 and holds a License No. 2000032326. The current practice location address for Jorge Joel Rodriguez is 134 E North St, 2ND Apt, Bethlehem, PA 18018-4021 and can be reached out via phone at 787-983-1586.

Provider Profile Details

NPI Number
1497295695
Provider Name
Jorge Joel Rodriguez
Credential
MS, LAT, ATC
Provider Entity Type
Individual
Gender
Male
Address
134 E North St, 2ND Apt, Bethlehem, PA 18018-4021
Phone Number
787-983-1586
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
March 7, 2017
Last Update Date
January 18, 2021
Certification Date
January 18, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
134 E North St
2ND Apt
Bethlehem, PA 18018-4021
Zip
18018-4021
Phone Number
787-983-1586
Bethlehem, PA 18018Get directions →

Provider Business Mailing Address Details

Address
Po Box 3385
Guaynabo, PR 00970-3385
City
Guaynabo
State
PR
Zip
00970-3385
Phone Number
787-983-1586

License Information

License Number (2)
2000032326
Taxonomy (2)
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
License Number (3)
RT007505
License State (3)
PA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jorge J Rodriguez, MS, LAT, ATC?

The NPI number of Mr. Jorge J Rodriguez, MS, LAT, ATC is 1497295695. It was assigned on March 7, 2017 and is currently active in the NPPES registry.

What is the specialty of Mr. Jorge J Rodriguez, MS, LAT, ATC?

Mr. Jorge J Rodriguez, MS, LAT, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed under license number 2000032326.

Where does Mr. Jorge J Rodriguez, MS, LAT, ATC practice?

The practice location is 134 E North St, 2ND Apt, Bethlehem, PA 18018-4021. The office can be reached at 787-983-1586 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497295695 directly on the NPPES registry website.

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