| Hector S Rodriguez Medical Group Inc | |
|
4011 West Flagler St Suite 204 Miami FL 33134-2616 | |
| (305) 774-1234 | |
| (305) 774-1639 |
| Full Name | Hector S Rodriguez Medical Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 4011 West Flagler St, Miami, Florida |
| Authorized Official Name and Position | Hector S Rodriguez (OWNER/PRESIDENT) |
| Authorized Official Contact | 3057741234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hector S Rodriguez Medical Group Inc 4011 West Flagler St Suite204 Miami FL 33134-1643 Ph: (305) 774-1234 | Hector S Rodriguez Medical Group Inc 4011 West Flagler St Suite 204 Miami FL 33134-2616 Ph: (305) 774-1234 |
| NPI Number | 1609023670 |
|---|---|
| Provider Enumeration Date | 08/21/2008 |
| Last Update Date | 12/12/2017 |
| Medicare PECOS PAC ID | 9830254986 |
|---|---|
| Medicare Enrollment ID | O20090224000550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609023670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME66905 (Florida) | Primary |
| Provider Name | Hector S Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336172162 PECOS PAC ID: 5597661595 Enrollment ID: I20031210000595 |
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