Individual ProviderEdmee RodriguezInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4105 Montgomery Blvd NE, Albuquerque, NM 87109-1102(505) 737-9411PECOS EnrollmentBased on the most recent information from CMS, provider Edmee Rodriguez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1346260544Provider TypeIndividualFull NameRodriguez, EdmeeCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date7/20/2006Last Updated2/20/2024Contact InformationPractice LocationPractice Address4105 Montgomery Blvd NE, Albuquerque, NM 87109-1102Phone(505) 737-9411Fax(505) 884-6845Mailing LocationMailing Address4105 Montgomery Blvd NE, Albuquerque, NM 87109-1102Phone(505) 737-9411Fax(505) 884-6845Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD2004-0764New MexicoProvider IdentifiersIDDescriptionIssuerID40908771DescriptionMedicaidIssuerUnlistedNew Mexico