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Organization
IVAN R RODRIGUEZ MD PA
Active
Organization
IVAN R RODRIGUEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN R RODRIGUEZ M.D. (OWNER/PRESIDENT)
(305) 234-8264
Entity
Organization
Contact information
Practice address
12002 SW 128TH CT STE 204, MIAMI, FL 33186-4643
(305) 234-8264
(305) 255-1752
Mailing address
12002 SW 128TH CT STE 204, MIAMI, FL 33186-4643
(305) 234-8264
(305) 255-1752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
01/30/2023
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