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NPI Code Detail

MEDICARE: MARLY BELINDA RODRIGUEZ

MEDICARE: MARLY BELINDA RODRIGUEZ
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
1390200000XStudent in an Organized Health Care Education/Training Program0
2207R00000XInternal Medicine PhysicianME144698FL

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 : 1720510803
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLY BELINDA RODRIGUEZ
Provider Business Mailing Address
First Line : 1395 NW 167TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33169-5710
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1431 NE 162ND ST
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-4620
Country : US
Telephone Number : 305-949-0999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2017
Last Update Date : 06/18/2020

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Directions to “ MARLY BELINDA RODRIGUEZ ” Practice Location

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