Individual
HENOC EDUARDO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-6267
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-6267
(484) 324-7706
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
023632
PR
208000000X
Pediatrics Physician
Primary
MD480743
PA
208000000X
Pediatrics Physician
ME141032
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104388100
—
FL
01
—
LZ623
MEDICARE
FL
Enumeration date
04/06/2016
Last updated
05/21/2025
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