MEDICARE: ERIKA RODRIGUEZ D.C, B.S

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	111N00000X	Chiropractor	CHIR010197	GA
2	111N00000X	Chiropractor	CH13328	FL

General Provider Information

NPI Number	:	1811555246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA RODRIGUEZ D.C, B.S

Provider Business Mailing Address
First Line	:	8020 NW 154TH ST
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33016-5814
Country	:	US
Telephone Number	:	786-618-9984
Fax Number	:	786-401-6549

Provider Business Practice Location Address
First Line	:	8020 NW 154TH ST
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33016-5814
Country	:	US
Telephone Number	:	786-340-4428
Fax Number	:

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

Provider Enumeration Date	:	05/31/2019
Last Update Date	:	05/06/2021

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