Healthcare Provider Details

I. General information

NPI: 1053360867
Provider Name (Legal Business Name): RODOLFO ZACARIAS SCHNEER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3663 S MIAMI AVE MEDICAL STAFF OFFICE
MIAMI FL
33133-4253
US

IV. Provider business mailing address

PO BOX 331920
MIAMI FL
33233-1920
US

V. Phone/Fax

Practice location:
  • Phone: 305-439-8888
  • Fax:
Mailing address:
  • Phone: 305-439-8888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number37726
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number37726
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number37726
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: