MEDICARE: FANNY L RODRIGUEZ UBINAS 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	208D00000X	General Practice Physician	16561	PR
2	208D00000X	General Practice Physician	ACN944	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851466031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FANNY L RODRIGUEZ UBINAS M.D.

Provider Business Mailing Address
First Line	:	13926 SW 47TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-4404
Country	:	US
Telephone Number	:	855-226-6633
Fax Number	:	866-285-7068

Provider Business Practice Location Address
First Line	:	13926 SW 47TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-4404
Country	:	US
Telephone Number	:	855-226-6633
Fax Number	:	866-285-7068

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

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	02/28/2024

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