Individual
RAUL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15225 NW 77TH AVE, MIAMI LAKES, FL 33014-7804
(305) 587-2747
Mailing address
860 NW 42ND AVE, FL 5, MIAMI, FL 33126
(305) 504-7885
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME102571
FL
Other
Enumeration date
09/04/2008
Last updated
09/20/2023
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