Vicente A Rodriguez, MD | |
1 Ne 167th St, North Miami Beach, FL 33162-3402 | |
(305) 432-9565 | |
(305) 432-9567 |
Full Name | Vicente A Rodriguez |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 1 Ne 167th St, North Miami Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598868903 | NPI | - | NPPES |
062015700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ME54106 (Florida) | Primary |
Entity Name | Nirvana Clinic Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811357122 PECOS PAC ID: 2365854726 Enrollment ID: O20201209002342 |
Mailing Address | Practice Location Address |
---|---|
Vicente A Rodriguez, MD 1 Ne 167th St, North Miami Beach, FL 33162-3402 Ph: (305) 432-9565 | Vicente A Rodriguez, MD 1 Ne 167th St, North Miami Beach, FL 33162-3402 Ph: (305) 432-9565 |
Alice W Hernandez-bem, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1701 Ne 164th St, North Miami Beach, FL 33162 Phone: 305-949-2000 | |
Dr. Robert Ben Mitchell, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 16375 Ne 18th Ave, Suite 310, North Miami Beach, FL 33162 Phone: 786-262-5750 | |
Dr. Henry Lora, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 951 Ne 167th St, Suite 102, North Miami Beach, FL 33162 Phone: 305-944-1122 Fax: 305-944-1133 | |
Dr. Dania Gomez, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1648 Ne 163rd St, North Miami Beach, FL 33162 Phone: 305-949-2000 Fax: 305-957-1166 |