MEDICARE: DR. FELIX ALBERTO 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
1	207R00000X	Internal Medicine Physician	207751	NY

General Provider Information

NPI Number	:	1346382934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FELIX ALBERTO RODRIGUEZ M.D.

Provider Business Mailing Address
First Line	:	61 MAPLE AVE
Second Line	:
City	:	PELHAM
State	:	NY
Zip	:	10803-1027
Country	:	US
Telephone Number	:	914-738-2278
Fax Number	:

Provider Business Practice Location Address
First Line	:	385 FORT WASHINGTON AVE
Second Line	:	SUITE 9
City	:	NEW YORK
State	:	NY
Zip	:	10033-6740
Country	:	US
Telephone Number	:	212-923-3832
Fax Number	:	212-923-2760

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	07/08/2007

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