MEDICARE: DR. LUIS A RODRIGUEZ ANAYA DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	PO3664	FL

General Provider Information

NPI Number	:	1689088189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUIS A RODRIGUEZ ANAYA DPM

Provider Business Mailing Address
First Line	:	3659 S MIAMI AVE STE 3008
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-4225
Country	:	US
Telephone Number	:	305-859-7777
Fax Number	:	305-859-7444

Provider Business Practice Location Address
First Line	:	3659 S MIAMI AVE STE 3008
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-4225
Country	:	US
Telephone Number	:	305-859-7777
Fax Number	:	305-859-7444

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

Provider Enumeration Date	:	06/12/2014
Last Update Date	:	06/12/2014

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