=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992822712
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALEJANDRO RODICIO HEARING AID SPECIALI
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/25/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14961 SW 8TH TER
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33194-2476
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-227-4257
-----------------------------------------------------
Fax | 305-227-4257
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14961 SW 8TH TER
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33194-2476
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-227-4257
-----------------------------------------------------
Fax | 305-227-4257
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 237700000X
-----------------------------------------------------
Taxonomy Name | Hearing Instrument Specialist
-----------------------------------------------------
License Number | AS 3561
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------