Individual
ENNY CANCIO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
11750 SW 40TH ST, MIAMI, FL 33175-3530
(718) 960-1026
Mailing address
14960 SW 93RD ST, MIAMI, FL 33196-1671
(786) 518-0597
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
137264
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/29/2015
Last updated
11/05/2018
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