Healthcare Provider Details

I. General information

NPI: 1982915914
Provider Name (Legal Business Name): CLAUDIA P RODRIGUEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2010
Last Update Date: 12/14/2023
Certification Date: 12/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 BLUE LAGOON DR
MIAMI FL
33126-2064
US

IV. Provider business mailing address

3351 NW 125TH AVE
SUNRISE FL
33323-6362
US

V. Phone/Fax

Practice location:
  • Phone: 954-694-7385
  • Fax: 510-721-0731
Mailing address:
  • Phone: 954-694-7385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number257428
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: