Organization
ERNESTO RODRIGUEZ MD.PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO RODRIGUEZ VALDES MD (PRESIDENT)
(786) 383-7671
Entity
Organization
Contact information
Practice address
10300 SW 72ND ST, SUITE 230, MIAMI, FL 33173-3012
(786) 383-7671
Mailing address
10300 SW 72ND ST, SUITE 230, MIAMI, FL 33173-3012
(786) 383-7671
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME111630
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005931300
—
FL
Enumeration date
06/29/2014
Last updated
02/13/2017
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