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Organization

JESUS S RODRIGUEZ, M.D. P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JESUS SILVESTRE RODRIGUEZ M.D. (PRESIDENT)
(305) 822-1993
Entity
Organization

Contact information

Practice address
142 E 49TH ST, HIALEAH, FL 33013-1853
(305) 822-1993
(305) 826-3788
Mailing address
142 E 49TH ST, HIALEAH, FL 33013-1853
(305) 822-1993
(305) 826-3788

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0033464
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
73053
MEDICARE PROVIDER TRANSACTION NUMBER
FL
Enumeration date
01/19/2012
Last updated
01/19/2012
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