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NPI Code Detail

MEDICARE: DR. HECTOR ANTONIO RODRIGUEZ MD

MEDICARE: DR. HECTOR ANTONIO RODRIGUEZ MD
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
1208D00000XGeneral Practice PhysicianME0057069FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871608513
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HECTOR ANTONIO RODRIGUEZ MD
Provider Business Mailing Address
First Line : 2400 NW 54TH ST STE 4
Second Line :
City : MIAMI
State : FL
Zip : 33142-2946
Country : US
Telephone Number : 305-633-9090
Fax Number :
Provider Business Practice Location Address
First Line : 2400 NW 54TH ST STE 4
Second Line :
City : MIAMI
State : FL
Zip : 33142-2946
Country : US
Telephone Number : 305-633-9090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 09/26/2021

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