Carlos Alberto Rodriguez, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Grand Rapids, Michigan. His current practice location is
275 Michigan St Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 267-7401.
Carlos Alberto Rodriguez is licensed to practice in Michigan (license number 6301017168) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255711347.
Healthcare Provider's Profile
Full Name | Carlos Alberto Rodriguez |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 275 Michigan St Ne, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Carlos Alberto Rodriguez attended and graduated from in
NPI Data:
- NPI Number: 1255711347
- Provider Enumeration Date: 06/03/2015
- Last Update Date: 12/09/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Carlos Alberto Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255711347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 6301017168 (Michigan) | Secondary |
103G00000X | Clinical Neuropsychologist | 6301017168 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carlos Alberto Rodriguez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Carlos Alberto Rodriguez, PHD 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: (616) 486-6790 | Carlos Alberto Rodriguez, PHD 275 Michigan St Ne, Grand Rapids, MI 49503-2531 Ph: (616) 267-7401 |
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