MEDICARE: ROGELIO IGLESIAS MD PA

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1700822186
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROGELIO IGLESIAS MD PA

Provider Business Mailing Address
First Line	:	31 TAMIAMI CANAL RD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-2538
Country	:	US
Telephone Number	:	305-267-5950
Fax Number	:

Provider Business Practice Location Address
First Line	:	31 TAMIAMI CANAL RD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-2538
Country	:	US
Telephone Number	:	305-267-5950
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROGELIO IGLESIAS
Credential	:	MD
Telephone Number	:	305-267-5950

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	02/25/2009

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