Individual
DR. JOSE HIRAM RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4106 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701
(757) 393-1136
(757) 698-2499
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101054792
VA
Other
Enumeration date
03/12/2007
Last updated
10/23/2019
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