SERGIO M RODRIGUEZ JR MD PA NPI 1194803379

NPI Information

NPI: 1194803379
Provider Name: SERGIO M RODRIGUEZ JR MD PA
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
777 EAST 25 STREET
SUITE 210
HIALEAH, FL
ZIP 33013
Phone: (305) 691-3505
Get Directions

SERGIO M RODRIGUEZ JR MD PA is a gastroenterology internal medicine in Hialeah, FL. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. SERGIO M RODRIGUEZ JR MD PA NPI is 1194803379. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

777 EAST 25 STREET
SUITE 210
HIALEAH, FL
ZIP 33013
Phone: (305) 691-3505
Fax: (305) 691-4104

The provider's authorized official is Sergio M Rodriguez .
The authorized official title is Owner President and has the following contact phone number (305) 691-3505.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 9/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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	207RG0100X	Internal Medicine	Gastroenterology	ME0058313	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	12479	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
2	E89319	MEDICARE UPIN
3	059599300	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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