| Rodriguez And Sixto Medical Associates, P.a. | |
|
1100 Sw 57 Ave #101 Miami FL 33144 | |
| (305) 644-1550 | |
| (305) 269-1068 |
| Full Name | Rodriguez And Sixto Medical Associates, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 1100 Sw 57 Ave #101, Miami, Florida |
| Authorized Official Name and Position | William Rodriguez Fundora (PRESIDENT) |
| Authorized Official Contact | 3056441550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodriguez And Sixto Medical Associates, P.a. 1100 Sw 57 Ave #101 Miami FL 33144 Ph: (305) 644-1550 | Rodriguez And Sixto Medical Associates, P.a. 1100 Sw 57 Ave #101 Miami FL 33144 Ph: (305) 644-1550 |
| NPI Number | 1982744314 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 12/24/2008 |
| Medicare PECOS PAC ID | 8022007665 |
|---|---|
| Medicare Enrollment ID | O20040510000667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982744314 | NPI | - | NPPES |
| 260231800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS0007275 (Florida) | Primary |
| Provider Name | William Rodriguez Fundora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821059312 PECOS PAC ID: 0749279289 Enrollment ID: I20090110000014 |
| Provider Name | Susana Maria Sixto-rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366403859 PECOS PAC ID: 0042482077 Enrollment ID: I20111017000257 |
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