Individual
ROGELIO GONZALEZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9900 SW 107TH AVE STE 101, MIAMI, FL 33176-2798
(305) 964-5381
Mailing address
23037 SW 108TH CT, MIAMI, FL 33170-7538
(786) 728-1278
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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