Individual
DR. SAMUEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 FOREST GLEN RD, SUITE 300, SILVER SPRING, MD 20910-1459
(301) 905-3500
(301) 905-3502
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0041975
MD
207RI0011X
Interventional Cardiology Physician
D0041975
MD
Other
Enumeration date
12/28/2006
Last updated
11/16/2011
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