MEDICARE: NOEL RODRIGUEZ-CASTRO SA-C

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	246ZC0007X	Surgical Assistant	00-192	CO

General Provider Information

NPI Number	:	1750662375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOEL RODRIGUEZ-CASTRO SA-C

Provider Business Mailing Address
First Line	:	6338 SW 42ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-5112
Country	:	US
Telephone Number	:	305-321-3061
Fax Number	:

Provider Business Practice Location Address
First Line	:	11750 BIRD RD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-3530
Country	:	US
Telephone Number	:	305-223-3000
Fax Number	:

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

Provider Enumeration Date	:	09/09/2011
Last Update Date	:	01/18/2026

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