Provider Demographics
NPI:1134934078
Name:URREGO-RODAS, GERMAN EDUARDO (CSW)
Entity type:Individual
Prefix:MR
First Name:GERMAN
Middle Name:EDUARDO
Last Name:URREGO-RODAS
Suffix:
Gender:M
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11177 N ORACLE RD APT 4206
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-5626
Mailing Address - Country:US
Mailing Address - Phone:305-450-8763
Mailing Address - Fax:
Practice Address - Street 1:400 GOLD AVE SW STE 1060
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-3263
Practice Address - Country:US
Practice Address - Phone:305-450-9651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker