Organization
MIRAMAR PAIN MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGNACIO J RODRIGUEZ M.D. (PRESIDENT)
(786) 295-8721
Entity
Organization
Contact information
Practice address
1991 W 60TH ST, HIALEAH, FL 33012-7504
(305) 823-1808
(305) 821-7186
Mailing address
1991 W 60TH ST, HIALEAH, FL 33012-7504
(305) 823-1808
(305) 821-7186
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME61654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386600708
NPI
FL
05
—
371365200
—
FL
Enumeration date
06/18/2014
Last updated
04/23/2015
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