MEDICARE: DR. EVA MARIA NAPOLES RODRIGUEZ DDS

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	1223G0001X	General Practice Dentistry	DN19014	FL

General Provider Information

NPI Number	:	1851611669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EVA MARIA NAPOLES RODRIGUEZ DDS

Provider Business Mailing Address
First Line	:	5317 NW 187TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-5309
Country	:	US
Telephone Number	:	786-506-2009
Fax Number	:

Provider Business Practice Location Address
First Line	:	1421 MALABAR RD NE STE 240
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32907-2559
Country	:	US
Telephone Number	:	321-722-8440
Fax Number	:

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

Provider Enumeration Date	:	06/03/2010
Last Update Date	:	06/03/2010

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