Individual
MAGDIEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8323 NW 12TH ST, SUITE 204, DORAL, FL 33126-1829
(305) 742-2552
Mailing address
8323 NW 12TH ST, SUITE 204, DORAL, FL 33126-1829
(305) 742-2552
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/17/2016
Last updated
04/17/2016
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