Organization
IVAN D RODRIGUEZ D O P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN D RODRIGUEZ DO (PRESIDENT)
(305) 824-0706
Entity
Organization
Contact information
Practice address
7100 W 20TH AVE, SUITE 504, HIALEAH, FL 33016-1897
(305) 827-3330
(305) 824-4699
Mailing address
7777 NW 167TH TER, MIAMI LAKES, FL 33016-8452
(305) 824-0706
(305) 824-4699
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
OS7908
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267179400
—
FL
Enumeration date
10/19/2006
Last updated
12/03/2007
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