MEDICARE: RODRIGO HUGO LUERINO

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	347C00000X	Private Vehicle	L650728770410	FL

General Provider Information

NPI Number	:	1437719747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODRIGO HUGO LUERINO

Provider Business Mailing Address
First Line	:	1748 NE 180TH ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-1502
Country	:	US
Telephone Number	:	786-340-5283
Fax Number	:

Provider Business Practice Location Address
First Line	:	1748 NE 180TH ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-1502
Country	:	US
Telephone Number	:	786-340-5283
Fax Number	:

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

Provider Enumeration Date	:	06/18/2019
Last Update Date	:	06/18/2019

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Directions to “ RODRIGO HUGO LUERINO ” Practice Location

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