| Martha M Rodriguez Md Pa | |
|
2015 Ocean Dr Ste 11 Boynton Beach FL 33426-5131 | |
| (561) 364-8056 | |
| (561) 364-8507 |
| Full Name | Martha M Rodriguez Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2015 Ocean Dr, Boynton Beach, Florida |
| Authorized Official Name and Position | Martha Mercedes Rodriguez (OWNER) |
| Authorized Official Contact | 5613648056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha M Rodriguez Md Pa 2015 Ocean Dr Ste 11 Boynton Beach FL 33426-5131 Ph: (561) 364-8056 | Martha M Rodriguez Md Pa 2015 Ocean Dr Ste 11 Boynton Beach FL 33426-5131 Ph: (561) 364-8056 |
| NPI Number | 1396841235 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 11/05/2008 |
| Medicare PECOS PAC ID | 9638244353 |
|---|---|
| Medicare Enrollment ID | O20080814000644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396841235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME63688 (Florida) | Primary |
| Provider Name | Martha M Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508963802 PECOS PAC ID: 8820163546 Enrollment ID: I20080814000633 |
| Provider Name | Leo J Robb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760461685 PECOS PAC ID: 5395632343 Enrollment ID: I20151130000207 |
| Provider Name | Tia N Bowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831567908 PECOS PAC ID: 9234456658 Enrollment ID: I20170920003128 |
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