MEDICARE: RS RADIOLOGY, 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	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1205146966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RS RADIOLOGY, PL

Provider Business Mailing Address
First Line	:	90 ALTON ROAD PH 3310
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139
Country	:	US
Telephone Number	:	786-553-4510
Fax Number	:	305-722-3625

Provider Business Practice Location Address
First Line	:	90 ALTON ROAD PH 3310
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139
Country	:	US
Telephone Number	:	786-553-4510
Fax Number	:	305-722-3625

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GERMAINE RODRIGUEZ
Credential	:	MD
Telephone Number	:	786-553-4510

Provider Enumeration Date	:	10/15/2010
Last Update Date	:	06/04/2014

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