Individual provider · Type 1 NPI

Elio Jose Rodriguez Hernandez, MD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1255176392 Active

Practice location

5501 Old York Rd Ste 1
Philadelphia, PA 19141-3098

Call (215) 456-6500 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XMT230833 (PA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255176392

Elio Jose Rodriguez Hernandez, MD's National Provider Identifier is 1255176392, issued on Jun 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 29, 2024.