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NPI Code Detail

MEDICARE: PAULA BIANCA RODRIGUEZ MD

MEDICARE: PAULA BIANCA RODRIGUEZ MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207R00000XInternal Medicine PhysicianA180312CA

General Provider Information

NPI Number : 1588223044
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULA BIANCA RODRIGUEZ MD
Provider Business Mailing Address
First Line : 1003 FOX CT
Second Line :
City : COLTON
State : CA
Zip : 92324-4587
Country : US
Telephone Number : 909-800-4429
Fax Number :
Provider Business Practice Location Address
First Line : 760 BROADWAY
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-5317
Country : US
Telephone Number : 718-963-5807
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2019
Last Update Date : 09/28/2022

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