MEDICARE: FREDDY 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	171100000X	Acupuncturist	AP3580	FL

General Provider Information

NPI Number	:	1669740015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FREDDY RODRIGUEZ

Provider Business Mailing Address
First Line	:	6424 PEMBROKE RD
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33023-2138
Country	:	US
Telephone Number	:	754-366-3873
Fax Number	:

Provider Business Practice Location Address
First Line	:	6424 PEMBROKE RD
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33023-2138
Country	:	US
Telephone Number	:	754-366-3873
Fax Number	:

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

Provider Enumeration Date	:	12/13/2011
Last Update Date	:	03/14/2024

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Directions to “ FREDDY RODRIGUEZ ” Practice Location

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