Rodriguez, Gustavo Albert

Rodriguez, Gustavo Albert is an individual health care provider with primary practice located at 3802 W 16Th St , Yuma AZ 85364-4107. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Rodriguez, Gustavo Albert can be contacted via phone (928) 376-0026.

Contact Information

Primary practice address
3802 W 16Th St Yuma AZ 85364-4107
Phone: (928) 376-0026
Fax: (928) 782-2298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-1257 Arizona

Profile Details

NPI number 1073670253
LBN Legal business name Rodriguez, Gustavo Albert
Credentials LISAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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