| Carlos O. Rodriguez, M.d., P.a. | |
|
1933 Sw 27th Ave Ste 101 Miami FL 33145-2538 | |
| (305) 858-2424 | |
| (305) 858-2445 |
| Full Name | Carlos O. Rodriguez, M.d., P.a. |
|---|---|
| Speciality | General Practice |
| Location | 1933 Sw 27th Ave Ste 101, Miami, Florida |
| Authorized Official Name and Position | Carlos Orestes Rodriguez (PRESIDENT) |
| Authorized Official Contact | 3058582424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos O. Rodriguez, M.d., P.a. 1933 Sw 27th Ave Ste 101 Miami FL 33145-2538 Ph: (305) 858-2424 | Carlos O. Rodriguez, M.d., P.a. 1933 Sw 27th Ave Ste 101 Miami FL 33145-2538 Ph: (305) 858-2424 |
| NPI Number | 1619294550 |
|---|---|
| Provider Enumeration Date | 05/03/2010 |
| Last Update Date | 12/16/2011 |
| Medicare PECOS PAC ID | 0345370334 |
|---|---|
| Medicare Enrollment ID | O20100618000223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619294550 | NPI | - | NPPES |
| 259017400 | Medicaid | FL | |
| EF024A | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME81643 (Florida) | Primary |
| Provider Name | Carlos Orestes Rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093864548 PECOS PAC ID: 3971572603 Enrollment ID: I20040929000974 |
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