Individual
DR. LUIS JACOMINO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
4695 W 4TH AVE, HIALEAH, FL 33012-3937
(305) 825-8888
(305) 825-9909
Mailing address
4695 W 4TH AVE, HIALEAH, FL 33012-3937
(305) 825-8888
(305) 825-9909
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN0013832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071356200
—
FL
Enumeration date
07/07/2006
Last updated
02/18/2013
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