Healthcare Provider Details

I. General information

NPI: 1205146966
Provider Name (Legal Business Name): RS RADIOLOGY, PL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2010
Last Update Date: 06/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 ALTON ROAD PH 3310
MIAMI BEACH FL
33139
US

IV. Provider business mailing address

90 ALTON ROAD PH 3310
MIAMI BEACH FL
33139
US

V. Phone/Fax

Practice location:
  • Phone: 786-553-4510
  • Fax: 305-722-3625
Mailing address:
  • Phone: 786-553-4510
  • Fax: 305-722-3625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: GERMAINE RODRIGUEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 786-553-4510