# SIUC MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BronxDocs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467826594
- **Authorized official:** NAVARRA RODRIGUEZ MD (PRESIDENT)
- **Authorized official phone:** (646) 680-2888

## Contact information

- **Practice address:** 932 SOUTHERN BOULEVARD, BRONX, NY 10459
- **Practice address phone:** (646) 680-5200
- **Mailing address:** C/O ADVANTAGECARE PHYSICIANS, PC, 55 WATER ST 2ND FLOOR, NEW YORK, NY 10041-0004
- **Mailing address phone:** (646) 680-2888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/01/2015
- **Last updated:** 09/02/2025