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NPI Code Detail

MEDICARE: DR. GERMAINE RODRIGUEZ M.D.

MEDICARE:  DR. GERMAINE  RODRIGUEZ  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianME70893FL
22085B0100XBody Imaging PhysicianME70893FL
32085U0001XDiagnostic Ultrasound PhysicianME70893FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
343944BOTHERFLMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ME70893OTHERFLFL MEDICAL LICENSE NO
443944OTHERFLBC BS OF FL PROVIDER NO
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235179706
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GERMAINE RODRIGUEZ M.D.
Provider Business Mailing Address
First Line : 81 N HIBISCUS DR
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33139-5117
Country : US
Telephone Number : 786-553-4510
Fax Number : 305-722-3625
Provider Business Practice Location Address
First Line : 90 ALTON RD PH 33130
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33139-6707
Country : US
Telephone Number : 305-532-4510
Fax Number : 305-722-3625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 05/28/2019

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