MEDICARE: DR. RODOLFO A CHIRINOS M.D.

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	207R00000X	Internal Medicine Physician	ME26857	FL
2	207RG0100X	Gastroenterology Physician	ME26857	FL

General Provider Information

NPI Number	:	1346201605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RODOLFO A CHIRINOS M.D.

Provider Business Mailing Address
First Line	:	7050 NW 4TH ST STE 302
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33317-2247
Country	:	US
Telephone Number	:	954-587-0257
Fax Number	:	954-587-0390

Provider Business Practice Location Address
First Line	:	7050 NW 4TH ST STE 302
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33317-2247
Country	:	US
Telephone Number	:	954-587-0257
Fax Number	:	954-587-0390

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

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	09/12/2019

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