Individual
CRISPIN J RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
489 E 49TH ST, HIALEAH, FL 33013-1867
(305) 953-9399
Mailing address
489 E 49TH ST, HIALEAH, FL 33013-1867
(305) 953-9399
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0067712
FL
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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