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NPI Code Detail

MEDICARE: DR. RODOLFO ACOSTA-ORTIZ DDS, MS

MEDICARE: DR. RODOLFO ACOSTA-ORTIZ DDS, MS
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
1122300000XDentistDN16118FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689782435
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODOLFO ACOSTA-ORTIZ DDS, MS
Provider Business Mailing Address
First Line : 1711 HAMMONDVILLE RD
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33069-1989
Country : US
Telephone Number : 954-972-6066
Fax Number : 954-935-3138
Provider Business Practice Location Address
First Line : 1711 HAMMONDVILLE RD
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33069-1989
Country : US
Telephone Number : 954-972-6450
Fax Number : 954-972-7028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 07/10/2013

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