Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivonne Aracely Rodriguez Mujica, PA-C

Individual provider Physician Assistant · NPI 1568942480

Ivonne Aracely Rodriguez Mujica, PA-C is a Physician Assistant in Salt Lake City, Utah. Qualified in 2014, 12 years ago. Licensed in Utah.

Years since qualifying
12
Licensed in
UT
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

500 Foothill Dr
Salt Lake City, UT 84148-0001
Phone: (801) 582-1565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9879378-1206 (UT)

Record details

NPI number1568942480
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 20, 2018
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

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