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Individual

RODOLFO GUTIERREZ-ALSINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2387 W 68TH ST STE 401, HIALEAH, FL 33016-6890
(305) 325-8589
(305) 325-8587
Mailing address
2387 W 68TH ST STE 401, HIALEAH, FL 33016-6890
(305) 325-8589
(305) 325-8587

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME51217
FL
207RN0300X
Nephrology Physician
Primary
ME51217
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
053343200
FL
01
11241
BCBS
FL
01
11241Z
MEDICARE PTAN
FL
01
P00129656
RAILROAD MEDICARE
FL
Enumeration date
07/16/2006
Last updated
01/04/2018
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