Healthcare Provider Details

I. General information

NPI: 1952339855
Provider Name (Legal Business Name): OFELIO RODRIGUEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7351 W OAKLAND PARK BLVD STE 101
TAMARAC FL
33319-7107
US

IV. Provider business mailing address

2600 S DOUGLAS RD STE 308
CORAL GABLES FL
33134-6134
US

V. Phone/Fax

Practice location:
  • Phone: 954-716-6100
  • Fax: 954-533-0870
Mailing address:
  • Phone: 954-716-6100
  • Fax: 954-533-0870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME78247
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME78247
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: