=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457688434
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MIGUEL I. RODRIGUEZ-MAY,MD,P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/11/2009
-----------------------------------------------------
Last Update Date | 11/11/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3970 W FLAGLER ST SUITE 204
-----------------------------------------------------
City | CORAL GABLES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33134-1642
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-567-3016
-----------------------------------------------------
Fax | 305-567-3018
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3970 W FLAGLER ST SUITE 204
-----------------------------------------------------
City | CORAL GABLES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33134-1642
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-567-3016
-----------------------------------------------------
Fax | 305-567-3018
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. MIGUEL IGNACIO RODRIGUEZ-MAY
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 305-567-3016
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | ME0049132
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------