Individual
MAURICIO ENRIQUE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5088 NW 74TH AVE, MIAMI, FL 33166-5551
(786) 509-8350
(786) 633-3688
Mailing address
2813 EXECUTIVE PARK DR STE 126, WESTON, FL 33331-3603
(954) 247-1557
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME129741
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017067100
—
FL
Enumeration date
12/09/2014
Last updated
01/20/2025
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