MEDICARE: RAMIRO RODRIGUEZ MD

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
1	207L00000X	Anesthesiology Physician	ME54337	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336117688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMIRO RODRIGUEZ MD

Provider Business Mailing Address
First Line	:	1613 NORTH HARRISON PARKWAY
Second Line	:	BLDG C-SUITE #200
City	:	SUNRISE
State	:	FL
Zip	:	33323-2864
Country	:	US
Telephone Number	:	954-838-2580
Fax Number	:

Provider Business Practice Location Address
First Line	:	7201 NORTH UNIVERSITY DRIVE
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-2913
Country	:	US
Telephone Number	:	954-724-6122
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2006
Last Update Date	:	12/07/2010

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