Individual
MR. JUAN CARLOS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6595 NW 36TH ST, SUITE 301, VIRGINIA GARDENS, FL 33166-6979
(305) 874-7160
(305) 874-7162
Mailing address
6595 NW 36TH ST, VIRGINIA GARDENS, FL 33166-6979
(305) 874-7160
(305) 874-7162
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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