MEDICARE: DR. JULIO ALEJANDRO 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	DN14778	FL

General Provider Information

NPI Number	:	1932127503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIO ALEJANDRO RODRIGUEZ D.D.S.

Provider Business Mailing Address
First Line	:	7100 SW 99TH AVE
Second Line	:	SUITE 101
City	:	MIAMI
State	:	FL
Zip	:	33173-4667
Country	:	US
Telephone Number	:	305-274-9656
Fax Number	:	305-274-0556

Provider Business Practice Location Address
First Line	:	7100 SW 99TH AVE
Second Line	:	SUITE 101
City	:	MIAMI
State	:	FL
Zip	:	33173-4667
Country	:	US
Telephone Number	:	305-274-9656
Fax Number	:	305-274-0556

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	07/09/2007

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