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IVAN D RODRIGUEZ D O P A NPI 1376625780


NPI Information

NPI: 1376625780
Provider Name: IVAN D RODRIGUEZ D O P A
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
7100 W 20TH AVE
SUITE 504
HIALEAH, FL
ZIP 33016
Phone: (305) 827-3330
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IVAN D RODRIGUEZ D O P A is a geriatric medicine family medicine in Hialeah, FL. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. IVAN D RODRIGUEZ D O P A NPI is 1376625780. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7100 W 20TH AVE
SUITE 504
HIALEAH, FL
ZIP 33016-897
Phone: (305) 827-3330
Fax: (305) 824-4699

The provider's authorized official is Ivan D Rodriguez .
The authorized official title is President and has the following contact phone number (305) 824-0706.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 12/3/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineOS7908FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K4245MEDICARE PINFLORIDA
2267179400MEDICAIDFLORIDA
3H08541MEDICARE UPINFLORIDA

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

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