MEDICARE: MRS. MAGDELYN GARCIA RODRIGUEZ M.D.

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	208000000X	Pediatrics Physician	309101-011	NY

General Provider Information

NPI Number	:	1720322274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MAGDELYN GARCIA RODRIGUEZ M.D.

Provider Business Mailing Address
First Line	:	3032 CORLEAR AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-5141
Country	:	US
Telephone Number	:	914-815-1739
Fax Number	:	718-548-3939

Provider Business Practice Location Address
First Line	:	3032 CORLEAR AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-5141
Country	:	US
Telephone Number	:	914-815-1739
Fax Number	:	718-548-3939

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

Provider Enumeration Date	:	11/22/2012
Last Update Date	:	09/04/2025

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