MEDICARE: DR. ALBERT IGNACIO 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	207LP2900X	Pain Medicine (Anesthesiology) Physician	ME62405	FL

General Provider Information

NPI Number	:	1780629725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBERT IGNACIO RODRIGUEZ M.D.

Provider Business Mailing Address
First Line	:	2828 S SEACREST BLVD
Second Line	:	SUITE 210
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-7944
Country	:	US
Telephone Number	:	561-369-7644
Fax Number	:	561-369-3471

Provider Business Practice Location Address
First Line	:	2828 S SEACREST BLVD
Second Line	:	SUITE 210
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-7944
Country	:	US
Telephone Number	:	561-369-7644
Fax Number	:	561-369-3471

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

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	04/23/2015

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