Individual
RODRIGO MARTINEZ DE MELLO VIANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1288
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1288
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
01058390A
IN
208600000X
Surgery Physician
Primary
ME114675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200467950A
—
IN
Enumeration date
05/10/2006
Last updated
01/31/2014
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