Healthcare Provider Details

I. General information

NPI: 1285685123
Provider Name (Legal Business Name): RENE FRANCISCO RODRIGUEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 NW 16TH ST
MIAMI FL
33125-1624
US

IV. Provider business mailing address

10395 NW 46TH ST
DORAL FL
33178-2238
US

V. Phone/Fax

Practice location:
  • Phone: 305-575-3185
  • Fax:
Mailing address:
  • Phone: 305-718-3857
  • Fax: 305-718-3247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberME80959
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: