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Rogelio Gonzalez Rodriguez

Clinic/Center, Corporate Health in Miami, FL. Individual provider (NPI-1).

NPI number1164096244
StatusActive
Last updated in NPPESMay 13, 2021

Details

NPI
1164096244
Entity type
Individual (NPI-1)
Name
Rogelio Gonzalez Rodriguez
Sex
Male
Sole proprietor
Yes
Enumeration date
May 13, 2021
Certification date
May 13, 2021
Last updated
May 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QC1800X Clinic/Center, Corporate Health––Yes
261QM0850X Clinic/Center, Adult Mental Health––

Practice location

9900 Sw 107th Ave Ste 101
Miami, FL 33176-2798

Phone 305-964-5381

Mailing address

23037 Sw 108th Ct
Miami, FL 33170-7538

Phone 786-728-1278

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