| Lucero Rodriguez Md Pa | |
|
10305 Nw 41st St Suite 202/205 Doral FL 33178-2396 | |
| (305) 718-9800 | |
| (305) 718-9080 |
| Full Name | Lucero Rodriguez Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10305 Nw 41st St, Doral, Florida |
| Authorized Official Name and Position | Lucero M Rodriguez (PRESIDENT) |
| Authorized Official Contact | 3057189800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucero Rodriguez Md Pa 11 N Royal Poinciana Suite 200 Miami Springs FL 33166 Ph: (305) 718-9800 | Lucero Rodriguez Md Pa 10305 Nw 41st St Suite 202/205 Doral FL 33178-2396 Ph: (305) 718-9800 |
| NPI Number | 1912129263 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 03/06/2012 |
| Medicare PECOS PAC ID | 1850306952 |
|---|---|
| Medicare Enrollment ID | O20060210000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912129263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME93806 (Florida) | Primary |
| Provider Name | Lucero M Rodriguez |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1255364113 PECOS PAC ID: 6305851411 Enrollment ID: I20060213000159 |
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