Basic Information
| Provider Information | |||||||||
| NPI: | 1023232675 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RODRIGUEZ-CLINE | ||||||||
| FirstName: | VILMA | ||||||||
| MiddleName: | BEATRIZ | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 110 N 29TH ST | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | NORFOLK | ||||||||
| State: | NE | ||||||||
| PostalCode: | 687014424 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4028448121 | ||||||||
| FaxNumber: | 4028448122 | ||||||||
| Practice Location | |||||||||
| Address1: | 2600 W NORFOLK AVE | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | NORFOLK | ||||||||
| State: | NE | ||||||||
| PostalCode: | 687014449 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4028448205 | ||||||||
| FaxNumber: | 4028448206 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/13/2007 | ||||||||
| LastUpdateDate: | 02/18/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 24479 | NE | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.