MEDICARE: DR. AMAURY RODRIGUEZ D.D.S.

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	1223G0001X	General Practice Dentistry	12779	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437251568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMAURY RODRIGUEZ D.D.S.

Provider Business Mailing Address
First Line	:	2240 SW 7TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33129-1900
Country	:	US
Telephone Number	:	305-854-8811
Fax Number	:	305-445-1406

Provider Business Practice Location Address
First Line	:	3944 W. FLAGLER ST.
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33134-1608
Country	:	US
Telephone Number	:	305-445-1405
Fax Number	:

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

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. AMAURY RODRIGUEZ D.D.S.” Practice Location

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