Individual
LINA BEATRIZ RODRIGUEZ ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1223 GATEWAY DR STE 2G, MELBOURNE, FL 32901-2607
(321) 473-6916
(321) 725-7028
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 473-6916
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27601R
PR
2084N0400X
Neurology Physician
Primary
ME123809
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015429500
—
FL
01
—
IG933Z
FL MEDICARE
FL
01
—
P01590754
FL RR MEDICARE
FL
Enumeration date
07/24/2009
Last updated
01/17/2024
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