| Organization Name: | LEONEL G. RODARTE M.D. |
| NPI Number: | 1437339512 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEONEL G. RODARTE (OWNER) |
| Mailing Address: | 3885 Foothills Ste. B Las Cruces |
| State: | NM US |
| Postal Code: | 88011 |
| Phone Number: | 5755225111 |
| Fax Number: | 5755225115 |
| NPI Enumeration Date: | 11/06/2007 |
| NPI Last Update Date: | 10/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 2002-0380 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |