MEDICARE: DR. MARIA D RODRIGUEZ

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	122300000X	Dentist	DN20343	FL

General Provider Information

NPI Number	:	1275825127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA D RODRIGUEZ

Provider Business Mailing Address
First Line	:	8305 HAMMOCKS BLVD APT 5203
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-4171
Country	:	US
Telephone Number	:	786-515-8625
Fax Number	:

Provider Business Practice Location Address
First Line	:	8901 SW 157TH AVE UNIT 12
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-1157
Country	:	US
Telephone Number	:	786-558-9592
Fax Number	:

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

Provider Enumeration Date	:	05/11/2011
Last Update Date	:	06/16/2021

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