Organization
SERGIO M RODRIGUEZ JR MD PA
Active
Organization
SERGIO M RODRIGUEZ JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGIO M RODRIGUEZ JR. MD (OWNER PRESIDENT)
(305) 691-3505
Entity
Organization
Contact information
Practice address
777 EAST 25 STREET, SUITE 210, HIALEAH, FL 33013
(305) 691-3505
(305) 691-4104
Mailing address
777 EAST 25 STREET, SUITE 210, HIALEAH, FL 33013
(305) 691-3505
(305) 691-4104
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0058313
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059599300
—
FL
Enumeration date
11/02/2006
Last updated
09/27/2011
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