Ana Maria Rodriguez | Patchogue, NY • PECOS Search

Ana Maria Rodriguez

Licensed Practical Nurse

Nursing Service Providers

57 Thorne St, Patchogue, NY 11772-2837

PECOS Enrollment

Based on the most recent information from CMS, provider Ana Maria Rodriguez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1356997035
Provider Type
Individual
Full Name
Rodriguez, Ana Maria
Gender
Female

Sole Proprietor
Yes
Enumeration Date
8/17/2019
Last Updated
8/17/2019

Contact Information

Practice Location

57 Thorne St, Patchogue, NY 11772-2837

Unlisted Fax

Mailing Location

57 Thorne St, Patchogue, NY 11772-2837

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164W00000X Primary	Description Licensed Practical Nurse Nursing Service Providers	License 324199-1 New York