Rodriguez, Luis Ernesto

Rodriguez, Luis Ernesto is an sole proprietor health care provider with primary practice located at 302 Eustis St , Roxbury MA 02119-3800. 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, Luis Ernesto can be contacted via phone (617) 445-1123.

Contact Information

Primary practice address
302 Eustis St Roxbury MA 02119-3800
Phone: (617) 445-1123
Fax: (857) 547-1186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 41491644 Texas

Profile Details

NPI number 1245980515
LBN Legal business name Rodriguez, Luis Ernesto
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2022
Last updated Mar 28th, 2022 - about 4 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.

Request for update

Popular Providers