Individual
VICTOR MANUEL RODRIGUEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
14434 SW 293RD TER, HOMESTEAD, FL 33033-2953
(305) 846-4404
Mailing address
14434 SW 293RD TER, HOMESTEAD, FL 33033-2953
(305) 846-4404
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
21-768
FL
Other
Enumeration date
01/22/2022
Last updated
01/22/2022
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