Healthcare Provider Details

I. General information

NPI: 1679561203
Provider Name (Legal Business Name): ARMANDO RODRIGUEZ-ASBUN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2005
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 N GREENFIELD RD STE 108
MESA AZ
85205-7863
US

IV. Provider business mailing address

6101 BLUE LAGOON DR STE 200
MIAMI FL
33126-3168
US

V. Phone/Fax

Practice location:
  • Phone: 602-834-5516
  • Fax: 855-618-2418
Mailing address:
  • Phone: 305-500-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number24283
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: