# RODOLFO DUMENIGO MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Miami Beach Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932150919
- **Authorized official:** JOSE D SUAREZ (CMO)
- **Authorized official phone:** (305) 534-0076

## Contact information

- **Practice address:** 1200 ALTON RD, MIAMI BEACH, FL 33139-3810
- **Practice address phone:** (305) 534-0076
- **Practice address fax:** (305) 531-8075
- **Mailing address:** 1400 NW 107TH AVE STE 500, SWEETWATER, FL 33172-2746
- **Mailing address phone:** (305) 534-0076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 05/13/2006
- **Last updated:** 10/30/2023