Healthcare Provider Details

I. General information

NPI: 1245556935
Provider Name (Legal Business Name): CLAUDIA Y RODRIGUEZ MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2010
Last Update Date: 04/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 NW 27TH ST SUITE 117
DORAL FL
33122-1902
US

IV. Provider business mailing address

1835 NE MIAMI GARDENS DR SUITE 485
NORTH MIAMI BEACH FL
33179-5035
US

V. Phone/Fax

Practice location:
  • Phone: 786-252-5387
  • Fax: 305-264-0253
Mailing address:
  • Phone: 786-252-5387
  • Fax: 305-264-0253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME100686
License Number StateFL

VIII. Authorized Official

Name: DR. CLAUDIA Y RODRIGUEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 786-252-5387