Individual
MR. RAFAEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8004 NW 154TH ST # 197, MIAMI LAKES, FL 33016-5814
(786) 290-8419
Mailing address
8004 NW 154TH ST # 197, MIAMI LAKES, FL 33016-5814
(786) 290-8419
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
ME61793
FL
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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