Healthcare Provider Details

I. General information

NPI: 1033806591
Provider Name (Legal Business Name): JULIO KESSEL RODRIGUEZ DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2103 CORAL WAY
MIAMI FL
33145-2601
US

IV. Provider business mailing address

15160 SW 156TH AVE
MIAMI FL
33196-6215
US

V. Phone/Fax

Practice location:
  • Phone: 305-441-7030
  • Fax: 305-441-9484
Mailing address:
  • Phone: 786-304-7868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO4687
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: