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NPI Code Detail

MEDICARE: DR. WILNA MILAGROS RODRIGUEZ MD

MEDICARE: DR. WILNA MILAGROS 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
1208600000XSurgery PhysicianME113675FL

Other Identifiers

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

General Provider Information

NPI Number : 1497747794
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILNA MILAGROS RODRIGUEZ MD
Provider Business Mailing Address
First Line : PO BOX 3725
Second Line :
City : AUGUSTA
State : GA
Zip : 30914-3725
Country : US
Telephone Number : 706-863-9595
Fax Number : 706-868-8375
Provider Business Practice Location Address
First Line : 2020 59TH ST W
Second Line :
City : BRADENTON
State : FL
Zip : 34209-4604
Country : US
Telephone Number : 706-863-9595
Fax Number : 706-868-8375
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 03/08/2018

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