Healthcare Provider Details

I. General information

NPI: 1235179706
Provider Name (Legal Business Name): GERMAINE RODRIGUEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: GERMAINE RODRIGUEZ-FERRER M.D.

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 05/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 ALTON RD PH 33130
MIAMI BEACH FL
33139-6707
US

IV. Provider business mailing address

81 N HIBISCUS DR
MIAMI BEACH FL
33139-5117
US

V. Phone/Fax

Practice location:
  • Phone: 305-532-4510
  • 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 NumberME70893
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License NumberME70893
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License NumberME70893
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: