| Yanitza Rodriguez Md Pa | |
|
5350 10th Ave N Ste 1 Greenacres FL 33463-2071 | |
| (678) 446-0729 | |
| (561) 793-2583 |
| Full Name | Yanitza Rodriguez Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 5350 10th Ave N Ste 1, Greenacres, Florida |
| Authorized Official Name and Position | Yanitza Rodriguez (DIRECTOR) |
| Authorized Official Contact | 7703803498 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yanitza Rodriguez Md Pa 5350 10th Ave N Ste 1 Greenacres FL 33463-2071 Ph: (678) 446-0729 | Yanitza Rodriguez Md Pa 5350 10th Ave N Ste 1 Greenacres FL 33463-2071 Ph: (678) 446-0729 |
| NPI Number | 1861780694 |
|---|---|
| Provider Enumeration Date | 07/13/2011 |
| Last Update Date | 10/26/2011 |
| Medicare PECOS PAC ID | 1052570413 |
|---|---|
| Medicare Enrollment ID | O20120305000678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861780694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME 107763 (Florida) | Primary |
| Provider Name | Yanitza Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356515019 PECOS PAC ID: 6901085919 Enrollment ID: I20120305000668 |
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