Individual ProviderIsmael RodriguezInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4815 Alameda Ave, El Paso, TX 79905-2705(915) 790-5700PECOS EnrollmentBased on the most recent information from CMS, provider Ismael 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 2 days ago.Profile DetailsProvider ID1730450859Provider TypeIndividualFull NameRodriguez, IsmaelTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date1/20/2012Last Updated6/22/2015Contact InformationPractice LocationPractice Address4815 Alameda Ave, El Paso, TX 79905-2705Phone(915) 790-5700FaxUnlisted FaxMailing LocationMailing Address4815 Alameda Ave, El Paso, TX 79905-2705Phone(915) 790-5700FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseP7194Texas