Mr Ricardo Luis Rodriguez, MD | |
1300 Bellona Ave, Suite C, Lutherville, MD 21093-5465 | |
(410) 494-8100 | |
(410) 494-0815 |
Full Name | Mr Ricardo Luis Rodriguez |
---|---|
Gender | Male |
Speciality | Plastic Surgery |
Location | 1300 Bellona Ave, Lutherville, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912099920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | D41395 (Maryland) | Primary |
Entity Name | Cosmetic Surgery Facility Llc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1578763199 PECOS PAC ID: 5193891927 Enrollment ID: O20080902000588 |
Entity Name | Ricardo L Rodriguez Md Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912173964 PECOS PAC ID: 5193893287 Enrollment ID: O20081002000213 |
Mailing Address | Practice Location Address |
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Mr Ricardo Luis Rodriguez, MD 1300 Bellona Ave, Suite C, Lutherville, MD 21093-5465 Ph: (410) 494-8100 | Mr Ricardo Luis Rodriguez, MD 1300 Bellona Ave, Suite C, Lutherville, MD 21093-5465 Ph: (410) 494-8100 |
Lawrence I Rosenberg, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1304 Bellona Ave, Lutherville, MD 21093 Phone: 410-616-3000 Fax: 410-616-2999 | |
Eve E Bruce, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1304 Bellona Ave, Lutherville, MD 21093 Phone: 410-616-3000 Fax: 410-616-2999 | |
Amita Bagal, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1447 York Rd, Suite 301, Lutherville, MD 21093 Phone: 410-252-9090 Fax: 443-378-8887 | |
Paul Manson, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10755 Falls Rd, Lutherville, MD 21093 Phone: 410-955-5837 | |
Craig Vander Kolk, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10755 Falls Rd, Lutherville, MD 21093 Phone: 410-955-6897 | |
Adam L Basner, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1304 Bellona Ave, Lutherville, MD 21093 Phone: 410-616-3000 Fax: 410-616-2999 |