Organization
DANIELA RODRIGUEZ MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELA RODRIGUEZ MD (OWNER/PHYSICIAN)
(586) 777-7260
Entity
Organization
Contact information
Practice address
21727 GREATER MACK AVE, ST CLAIR SHORES, MI 48080-2418
(586) 777-7260
(586) 777-7265
Mailing address
21727 GREATER MACK AVE, ST CLAIR SHORES, MI 48080-2418
(586) 777-7260
(586) 777-7265
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301080695
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00421
AETNA
MI
01
—
141579
CARE CHOICES
MI
01
—
14700
MCARE
MI
01
—
2405016902
BCBC BCN
MI
01
—
35715
HEALTH PLAN OF MI
MI
01
—
821910
PROCARE
MI
01
—
DE6319
RAILROAD MEDICARE
MI
01
—
H61010
HAP
MI
Enumeration date
06/15/2006
Last updated
01/15/2008
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