Individual provider · NPI-1

Rodrigo Antonio Aristizabal, OD

Optometrist · Hialeah, FL

NPI number1417449265
StatusActive
Last updated in NPPESJun 6, 2018

Details

NPI
1417449265
Entity type
Individual (NPI-1)
Name
Rodrigo Antonio Aristizabal
Credential
OD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 6, 2018
Last updated
Jun 6, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOPC5532FLYes

Practice location

591 W 49th St
Hialeah, FL 33012-3646

Phone 305-691-9780

Mailing address

591 W 49th St
Hialeah, FL 33012-3646

Phone 305-788-0498

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