Individual
DR. CARLOS M RODRIGUEZ MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 75TH ST W, BRADENTON, FL 34209-3201
(941) 792-2211
(941) 794-6199
Mailing address
315 75TH ST W, BRADENTON, FL 34209-3201
(941) 761-1998
(941) 794-6199
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME69006
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110169971
RAIL ROAD MEDICARE
FL
01
—
27594
BCBS
FL
05
—
379304400
—
FL
Enumeration date
09/19/2005
Last updated
02/01/2022
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