MEDICARE: ARTURO RODRIGUEZ-MARTIN MD PL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME79916	FL

General Provider Information

NPI Number	:	1184605495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTURO RODRIGUEZ-MARTIN MD PL

Provider Business Mailing Address
First Line	:	PO BOX 496016
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33949-6016
Country	:	US
Telephone Number	:	941-613-1356
Fax Number	:	941-613-1591

Provider Business Practice Location Address
First Line	:	22099 ELMIRA BLVD
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33952-7018
Country	:	US
Telephone Number	:	941-613-1351
Fax Number	:	941-613-1591

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	09/24/2015

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