Individual
FIDEL LORENZO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16836 NW 91ST AVE, MIAMI LAKES, FL 33018
(305) 742-9775
Mailing address
2420NW 99ST, MIAMI, FL 33147
(305) 742-9775
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
18945
PR
208D00000X
General Practice Physician
Primary
ME135244
FL
Other
Enumeration date
12/02/2014
Last updated
06/28/2018
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