Individual provider · Type 1 NPI

Santiago Martin Rodriguez, NP

Family Nurse Practitioner · Lyndhurst, NJ

NPI number 1508607128 Active

Practice location

750 Valley Brook Ave # 7071
Lyndhurst, NJ 07071-1301

Mailing address

507 Bloomfield Ave Apt 5G
Caldwell, NJ 07006-5416

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X26NJ15050200 (NJ)

Family Nurse Practitioner: Definition to come...

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About NPI 1508607128

Santiago Martin Rodriguez, NP's National Provider Identifier is 1508607128, issued on Jun 6, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lyndhurst, NJ. The record was last updated on Jun 6, 2024.