DR. RENE RODRIGUEZ, MD - NPI NUMBER 1508917733

Summary

Provider Name: DR. RENE RODRIGUEZ, MD

NPI Number: 1508917733

Clasification: Internal Medicine (207R00000X)

Address:
3800 S.W. 128 AVENUE
MIRAMAR, FL
ZIP 33027

Phone Number: (954) 438-7877



Detailed Information

DR. Rene Rodriguez, MD is an internist in Miramar, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. The assigned NPI number for this provider is 1508917733 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

3800 S.W. 128 AVENUE
MIRAMAR, FL
ZIP 33027-819
Phone: (954) 438-7877
Fax: (954) 442-4449

The enumeration date for this NPI number is 1/15/2007 and was last updated on 10/9/2008.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207R00000X Internal Medicine ME0061780 FL Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 FLME0061780 OTHER FL FLORIDA LICENSE #
2 14834 OTHER FL BLUE CROSS OF FLORIDA
3 14834B MEDICARE ID-TYPE UNSPECIFIED FL MEDICARE #
4 251725600 MEDICAID FL
5 F25036 MEDICARE UPIN FL

NPI Record

No. Field Name Field Value
1 NPI 1508917733
2 Entity Type Code 1
3 Provider Last Name Legal Name RODRIGUEZ
4 Provider First Name RENE
5 Provider Name Prefix Text DR.
6 Provider Credential Text MD
7 Provider First Line Business Practice Location Address 3800 S.W. 128 AVENUE
8 Provider Business Practice Location Address City Name MIRAMAR
9 Provider Business Practice Location Address State Name FL
10 Provider Business Practice Location Address Postal Code 330272819
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 9544387877
13 Provider Business Practice Location Address Fax Number 9544424449
14 Provider Enumeration Date 1/15/2007
15 Last Update Date 10/9/2008
16 Provider Gender Code M
17 Healthcare Provider Taxonomy Code 1 207R00000X
18 Provider License Number 1 ME0061780
19 Provider License Number State Code 1 FL
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Other Provider Identifier 1 FLME0061780
22 Other Provider Identifier Type Code 1 01
23 Other Provider Identifier State 1 FL
24 Other Provider Identifier Issuer 1 FLORIDA LICENSE #
25 Other Provider Identifier 2 14834
26 Other Provider Identifier Type Code 2 01
27 Other Provider Identifier State 2 FL
28 Other Provider Identifier Issuer 2 BLUE CROSS OF FLORIDA
29 Other Provider Identifier 3 14834B
30 Other Provider Identifier Type Code 3 04
31 Other Provider Identifier State 3 FL
32 Other Provider Identifier Issuer 3 MEDICARE #
33 Other Provider Identifier 4 251725600
34 Other Provider Identifier Type Code 4 05
35 Other Provider Identifier State 4 FL
36 Other Provider Identifier 5 F25036
37 Other Provider Identifier Type Code 5 02
38 Other Provider Identifier State 5 FL
39 Is Sole Proprietor Y

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This page was last updated on: 3/11/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.