=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891875191
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RODOLFO BINKER MD PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/17/2006
-----------------------------------------------------
Last Update Date | 01/26/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6700 SW 21ST ST
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33155-1734
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-266-0006
-----------------------------------------------------
Fax | 305-261-8004
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6700 SW 21ST ST
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33155-1734
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-266-0006
-----------------------------------------------------
Fax | 305-261-8004
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR
-----------------------------------------------------
Name | MR. RODOLFO BINKER SR.
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 305-266-0006
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | ME50156
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------