| Pedro A. Rodriguez M.d., P.a. | |
|
258 Ne 27th St Miami FL 33137-4522 | |
| (305) 573-9898 | |
| (305) 573-3711 |
| Full Name | Pedro A. Rodriguez M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 258 Ne 27th St, Miami, Florida |
| Authorized Official Name and Position | Pedro A Rodriguez (PRESIDENT) |
| Authorized Official Contact | 3055739898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedro A. Rodriguez M.d., P.a. 258 Ne 27th St Miami FL 33137-4522 Ph: (305) 573-9898 | Pedro A. Rodriguez M.d., P.a. 258 Ne 27th St Miami FL 33137-4522 Ph: (305) 573-9898 |
| NPI Number | 1053447656 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 12/28/2010 |
| Medicare PECOS PAC ID | 1456329978 |
|---|---|
| Medicare Enrollment ID | O20040922000964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053447656 | NPI | - | NPPES |
| 250245300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME0028664 (Florida) | Primary |
| Provider Name | Pedro A Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386710572 PECOS PAC ID: 3678530532 Enrollment ID: I20100526000590 |
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