Rodolfo Realyvasquez, - Licensed Practical Nurse in Fort Huachuca, AZ

Rodolfo Realyvasquez, is a Licensed Practical Nurse based in Fort Huachuca, Arizona. Rodolfo Realyvasquez is licensed to practice in Arizona (license number LP034456) and his current practice location is 2240 Winrow Rd, Fort Huachuca, Arizona. He can be reached at his office (for appointments etc.) via phone at (520) 533-9033.

NPI number for Rodolfo Realyvasquez is 1336506831 and his current mailing address is 21 E Berridge Dr, Sierra Vista, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336506831.

Contact Information

Rodolfo Realyvasquez,
2240 Winrow Rd,
Fort Huachuca, AZ 85613-5080
(520) 533-9033
Not Available



Provider's Profile

Full NameRodolfo Realyvasquez
GenderMale
SpecialityLicensed Practical Nurse
Location2240 Winrow Rd, Fort Huachuca, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336506831
  • Provider Enumeration Date: 01/28/2016
  • Last Update Date: 01/28/2016

Medical Identifiers

Medical identifiers for Rodolfo Realyvasquez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336506831NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse LP034456 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rodolfo Realyvasquez is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rodolfo Realyvasquez,
21 E Berridge Dr,
Sierra Vista, AZ 85635-3117

Ph: () -
Rodolfo Realyvasquez,
2240 Winrow Rd,
Fort Huachuca, AZ 85613-5080

Ph: (520) 533-9033

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› Verified 9 days ago


Licensed Practical Nurse Nurses in Fort Huachuca, AZ

Kelly Thomas, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2240 Winrow Ave, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613
Phone: 520-538-0393    
Chrisann Foret, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2240 East Winrow Ave, Fort Huachuca, AZ 85613
Phone: 520-533-9034    Fax: 520-533-5148
Michelle Arrieta, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2240 Winrow Rd, Fort Huachuca, AZ 85613
Phone: 520-533-4963    Fax: 520-533-5328
Nancylee Ramsey, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2240 Winrow Ave, Fort Huachuca, AZ 85613
Phone: 520-533-9033    
Brenda Vargas,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2240 Winrow Ave, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613
Phone: 520-533-9949    Fax: 520-533-6712
Mrs. Kathleen Archer, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: Usa Meddac, Rwbahc, 2240 E. Winrow Ave, Fort Huachuca, AZ 85613
Phone: 520-533-1696    
Ms. Diana Wakelyn, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2240 Winrow Ave, Fort Huachuca, AZ 85613
Phone: 520-533-9950    Fax: 520-533-6712

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